Prime Healthcare Services - Saint Clare's LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC

Doing business as

Visiting Nurse Association of Saint Clare's

Practice address

191 Woodport Road
Sparta, NJ 07871-2641

Phone

(973) 729-7078

NPI assigned

Jun 9, 2015

Last updated

Jun 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Heather

Title

Chief Financial Officer

Phone

(909) 235-4400

Specialties & licenses 1

Addresses

Other names 1

• Visiting Nurse Association of Saint Clare's Doing business as

Locations

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1285015818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E GUASTI RD",
            "address_2": "THIRD FLOOR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618655",
            "telephone_number": "909-235-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 WOODPORT ROAD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712641",
            "telephone_number": "973-729-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "HEATHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-235-4400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Nurse Association of Saint Clare's",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Sparta, NJ
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• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.