Senior Services of Monmouth

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0087600 Issued in NJ

Legal business name

SENIOR SERVICES OF MONMOUTH

Practice address

1816 Mount Holly Rd
Suite 201
Burlington, NJ 08016-4718

Phone

(609) 747-8866

Fax

(609) 747-8869

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Costigan

Title

President

Phone

(609) 747-8866

Specialties & licenses 1

Addresses

Other names 1

• ComForcare Senior Services Doing business as

Locations

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1295030005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 MOUNT HOLLY RD",
            "address_2": "201",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "08016",
            "telephone_number": "609-747-8866",
            "fax_number": "609-747-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 MOUNT HOLLY RD",
            "address_2": "SUITE 201",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164718",
            "telephone_number": "609-747-8866",
            "fax_number": "609-747-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SERVICES OF MONMOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "COSTIGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-747-8866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0087600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valorie Scott
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• Jared Selby, PT
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• Serv Connect, Inc
• Angela Severino
• Jaclyn Shaffer
• Sonta Shannon, LPN

• All providers in Burlington, NJ
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.