NPIMap

Organization Active NPI

Centre 4 Care LLC

  • In Home Supportive Care Agency
  • Sicklerville, NJ
National Provider Identifier
1285396168
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CENTRE 4 CARE LLC
Practice address
1 Park Side Dr
Sicklerville, NJ 08081-4225
Phone
(856) 522-3029
NPI assigned
Oct 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
Zainab Fofana
Title
President
Phone
(856) 522-3029

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

1 Park Side Dr
Sicklerville, NJ 08081-4225

Mailing address

1 Park Side Dr
Sicklerville, NJ 08081-4225
Phone (856) 522-3029

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1285396168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK SIDE DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814225",
            "telephone_number": "856-522-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK SIDE DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814225",
            "telephone_number": "856-522-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE 4 CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "FOFANA",
        "authorized_official_first_name": "ZAINAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-522-3029"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.