Organization Active NPI

Citadel at Home LLC

  • In Home Supportive Care Agency
  • East Orange, NJ
National Provider Identifier
1205310018
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Mar 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregory Thomas CrawfordNPI 1558681676
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HP0282000OtherNJNJ OFFICE OF THE ATTORNEY GENERAL - DIVISION OF CONSUMER AFFAIRS

National Provider Directory

National Provider Directory
Tax ID family
Citadel at Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.