Active NPI
Citadel at Home LLC
- In Home Supportive Care Agency
- East Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CITADEL AT HOME LLC
- Practice address
- 7 Glenwood Ave Ste 412
East Orange, NJ 07017-1041 - Phone
- (973) 965-0366
- Fax
- (973) 965-0367
- NPI assigned
- Sep 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Thomas Crawford
- Title
- Vice President of Operations
- Phone
- (973) 965-0366
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
7 Glenwood Ave Ste 412
East Orange, NJ 07017-1041
Mailing address
1000 Gates Ave Ste 4
Brooklyn, NY 11221-6296
Phone (917) 805-0702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP0282000 | Other | NJ | NJ OFFICE OF THE ATTORNEY GENERAL - DIVISION OF CONSUMER AFFAIRS |
National Provider Directory
National Provider Directory- Tax ID family
- Citadel at Home LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Freehold, NJ
- NPI 1841859840
Locations
7 Glenwood Ave
Ste 311A
East Orange, NJ 07017
7 Glenwood Ave
Ste 412
East Orange, NJ 07017
Phone (973) 965-0366
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- In Home Supportive Care Agency
- Freehold, NJ
- NPI 1841859840
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Cherry Hill, NJ
- NPI 1558681676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743120000000",
"number": "1205310018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 GATES AVE STE 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112216296",
"telephone_number": "917-805-0702",
"fax_number": "718-280-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 GLENWOOD AVE STE 412",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070171041",
"telephone_number": "973-965-0366",
"fax_number": "973-965-0367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITADEL AT HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-18",
"last_updated": "2025-03-28",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "973-965-0366"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ OFFICE OF THE ATTORNEY GENERAL - DIVISION OF CONSUMER AFFAIRS",
"identifier": "HP0282000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.