Organization Active NPI

Visiting Homemaker Service of Warren County, Inc.

  • Home Health Agency
  • Washington, NJ
National Provider Identifier
1356474407
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0204000 Issued in NJ
Legal business name
VISITING HOMEMAKER SERVICE OF WARREN COUNTY, INC.
Practice address
18 Broad St
Washington, NJ 07882-1909
Phone
(908) 689-4140
Fax
(908) 689-8909
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Mrs. Peggy Ann Suydam, RN, BA
Title
Executive Director
Phone
(908) 689-4140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0204000 NJ Primary

Addresses

Primary practice location

18 Broad St
Washington, NJ 07882-1909

Mailing address

PO Box 306
Washington, NJ 07882-0306
Phone (908) 689-4140

Other identifiers 1

IdentifierTypeStateIssuer
0060101MedicaidNJ

National Provider Directory

National Provider Directory

Locations

18 Broad St
Washington, NJ 07882
Phone (908) 689-4140

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1356474407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078820306",
            "telephone_number": "908-689-4140",
            "fax_number": "908-689-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BROAD ST",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078821909",
            "telephone_number": "908-689-4140",
            "fax_number": "908-689-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING HOMEMAKER SERVICE OF WARREN COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SUYDAM",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-689-4140",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0204000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.