NPIMap

Organization Active NPI

Community & Home Independence Partners LLC

  • Occupational Therapist
  • Haddon Township, NJ
National Provider Identifier
1376317123
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
COMMUNITY & HOME INDEPENDENCE PARTNERS LLC
Practice address
106 Akron Ave
Haddon Township, NJ 08108-2408
Phone
(856) 316-8624
NPI assigned
Nov 13, 2023
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Jillian BucoloNPI 1033574561
Title
Owner, Occupational Therapist
Phone
(856) 316-8624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary
Neurorehabilitation Occupational Therapist 225XN1300X
Gerontology Occupational Therapist 225XG0600X
Mental Health Occupational Therapist 225XM0800X
Environmental Modification Occupational Therapist 225XE0001X

Addresses

Primary practice location

106 Akron Ave
Haddon Township, NJ 08108-2408

Mailing address

106 Akron Ave
Haddon Township, NJ 08108-2408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212001264 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557710811 Receives reassigned benefits from 3 practitioners
Practice locations: Haddon Township, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1376317123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 AKRON AVE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 AKRON AVE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082408",
            "telephone_number": "856-316-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY & HOME INDEPENDENCE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "BUCOLO",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "856-316-8624"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.