Organization Active NPI

Family Home Care Services LLC

  • Clinical Child & Adolescent Psychologist
  • East Orange, NJ
National Provider Identifier
1275159642
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
FAMILY HOME CARE SERVICES LLC
Doing business as
Family Home Care Services LLC
Practice address
7 Glenwood Ave Ste 419C
East Orange, NJ 07017-1065
Phone
(973) 666-6487
NPI assigned
Jun 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Love PhilippeNPI 1053876755
Title
Ceo/Owner
Phone
(973) 666-6487

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
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

7 Glenwood Ave Ste 419C
East Orange, NJ 07017-1065

Mailing address

7 Glenwood Ave Ste 419C
East Orange, NJ 07017-1065
Phone (973) 666-6487

Other names 1

  • FAMILY HOME CARE SERVICES LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Home Care Services 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 419C
East Orange, NJ 07017
Phone (973) 666-6487

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": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1275159642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLENWOOD AVE STE 419C",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171065",
            "telephone_number": "973-666-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GLENWOOD AVE STE 419C",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171065",
            "telephone_number": "973-666-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "PHILIPPE",
        "authorized_official_first_name": "LOVE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "973-666-6487"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY HOME CARE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 22, 2020; 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.