NPIMap

Organization Active NPI

Ismarthomecare

  • Home Health Agency
  • Roselle, NJ
National Provider Identifier
1205511326
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ISMARTHOMECARE
Practice address
1121 Thompson Ave
Roselle, NJ 07203-2810
Phone
(908) 445-1200
NPI assigned
Jun 16, 2023
Last updated
Dec 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Authorized official

Name
Tywan Mata
Title
Owner and Ceo
Phone
(855) 476-2780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1121 Thompson Ave
Roselle, NJ 07203-2810

Mailing address

1121 Thompson Ave
Roselle, NJ 07203-2810
Phone (908) 445-1200

National Provider Directory

National Provider Directory
Tax ID family
Ismarthomecare2 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734825600000",
    "number": "1205511326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 THOMPSON AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032810",
            "telephone_number": "908-445-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 THOMPSON AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032810",
            "telephone_number": "908-445-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMARTHOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "TYWAN",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "855-476-2780"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; 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.