Organization Active NPI

Jersey City Home Care

Doing business as Jersey Home Care

  • Home Health Agency
  • Jersey City, NJ
National Provider Identifier
1275075749
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0235300 Issued in NJ
Legal business name
JERSEY CITY HOME CARE
Doing business as
Jersey Home Care
Practice address
780 Newark Avenue Suite #203
Jersey City, NJ 07306
Phone
(201) 222-8908
Fax
(201) 221-8397
NPI assigned
Nov 15, 2016
Last updated
Oct 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Samir Shah
Title
President
Phone
(732) 589-9404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0235300 NJ Primary

Addresses

Primary practice location

780 Newark Avenue Suite #203
Jersey City, NJ 07306

Mailing address

780 Newark Avenue Suite #203
Jersey City, NJ 07306
Phone (201) 222-8908

Other names 1

  • Jersey Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

780 Newark Ave
Ste 203
Jersey City, NJ 07306
Phone (201) 222-8908

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1275075749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 NEWARK AVENUE SUITE #203",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-222-8908",
            "fax_number": "201-221-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NEWARK AVENUE SUITE #203",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-222-8908",
            "fax_number": "201-221-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY CITY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-589-9404"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0235300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jersey Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.