Active NPI
Amandacare Home Health LLC
- Community/Behavioral Health Agency
- Irvington, NJ
National Provider Identifier
1376385708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AMANDACARE HOME HEALTH LLC
- Practice address
- 698 Chancellor Avenue
Store 2
Irvington, NJ 07111 - Phone
- (973) 282-6488
- NPI assigned
- Jun 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chioma Okeke
- Title
- Co-Owner
- Phone
- (862) 373-0719
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
698 Chancellor Avenue
Store 2
Irvington, NJ 07111
Mailing address
698 Chancellor Avenue
Store 2
Irvington, NJ 07111
Phone (973) 282-6488
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717718400000",
"number": "1376385708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "698 CHANCELLOR AVENUE",
"address_2": "STORE 2",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "07111",
"telephone_number": "973-282-6488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 CHANCELLOR AVENUE",
"address_2": "STORE 2",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "07111",
"telephone_number": "973-282-6488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMANDACARE HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-07",
"last_updated": "2024-06-07",
"certification_date": "2024-06-03",
"status": "A",
"authorized_official_last_name": "OKEKE",
"authorized_official_first_name": "CHIOMA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "862-373-0719",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.