Organization Active NPI

Amada Senior Care Morris LLC

Doing business as Amada Senior Care Northwest NJ

  • In Home Supportive Care Agency
  • Riverdale, NJ
National Provider Identifier
1275350191
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AMADA SENIOR CARE MORRIS LLC
Doing business as
Amada Senior Care Northwest NJ
Practice address
1 S Corporate Dr Ste 2C
Riverdale, NJ 07457-1718
Phone
(973) 440-5853
Fax
(973) 440-5103
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Eugene Willis Tee
Title
Co-Owner
Phone
(201) 615-3946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1 S Corporate Dr Ste 2C
Riverdale, NJ 07457-1718

Mailing address

1 S Corporate Dr Ste 2C
Riverdale, NJ 07457-1718
Phone (201) 615-3946

Other names 1

  • Amada Senior Care Northwest NJ Doing business as

National Provider Directory

National Provider Directory

Locations

1 S Corporate Dr
Ste 2C
Riverdale, NJ 07457
Phone (973) 440-5853

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1275350191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S CORPORATE DR STE 2C",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571718",
            "telephone_number": "201-615-3946",
            "fax_number": "973-440-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S CORPORATE DR STE 2C",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571718",
            "telephone_number": "973-440-5853",
            "fax_number": "973-440-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADA SENIOR CARE MORRIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "TEE",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "201-615-3946"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care Northwest NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.