NPIMap

Organization Active NPI

Restore Life Home Care LLC

  • Physical Therapist
  • Mays Landing, NJ
National Provider Identifier
1255664355
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01095400 Issued in NJ
Legal business name
RESTORE LIFE HOME CARE LLC
Practice address
1932 Cologne Ave
L-1
Mays Landing, NJ 08330-2441
Phone
(609) 233-5056
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Mr. Ronaldo PortuguezNPI 1851326235
Title
Manager
Phone
(609) 233-5056

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01095400 NJ Primary

Addresses

Primary practice location

1932 Cologne Ave
L-1
Mays Landing, NJ 08330-2441

Mailing address

1932 Cologne Ave
L-1
Mays Landing, NJ 08330-2441
Phone (609) 233-5056

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1255664355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 COLOGNE AVE",
            "address_2": "L-1",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302441",
            "telephone_number": "609-233-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 COLOGNE AVE",
            "address_2": "L-1",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302441",
            "telephone_number": "609-233-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE LIFE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "PORTUGUEZ",
        "authorized_official_first_name": "RONALDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "609-233-5056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01095400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.