Active NPI
Karleen Kemp
- Home Health Aide
- Union, NJ
National Provider Identifier
1275003352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 302 Perry Ave
Union, NJ 07083-4234 - Phone
- (973) 868-6203
- NPI assigned
- Nov 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Companion | 372600000X | |||
| Prevention Professional | 405300000X | 1064775 | NJ | |
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
302 Perry Ave
Union, NJ 07083-4234
Mailing address
302 Perry Ave
Union, NJ 07083-4234
Phone (973) 868-6203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1064775 | NJ | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eros Healthcare Services LLC | In Home Supportive Care | Current | Accepting new patients |
| Eros Services LLC | Day Training, Developmentally Disabled Services | Current | Accepting new patients |
| Eros Healthcare Services LLC | Current | Accepting new patients |
Locations
2040 Millburn Ave
Ste 404
Maplewood, NJ 07040
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Union, NJ
- NPI 1417538612
-
- Home Health Agency
- Union, NJ
- NPI 1699314534
Day Training, Developmentally Disabled Services
-
- Home Health Agency
- Philadelphia, PA
- NPI 1326687260
In Home Supportive Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1275003352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 PERRY AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070834234",
"telephone_number": "973-868-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 PERRY AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070834234",
"telephone_number": "973-868-6203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "KARLEEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "NJ",
"license": "1064775",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.