Pridecare, Inc.

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

License

HP0174000 Issued in NJ

Legal business name

PRIDECARE, INC.

Practice address

1341 Hamburg Tpke
Suite 2-2
Wayne, NJ 07470-4060

Phone

(973) 832-4301

Fax

(973) 832-4303

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Raymond A Mirra

Title

President

Phone

(484) 494-3121

Specialties & licenses 1

Addresses

Tax ID family

Pridecare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pridecare, Inc.

  • Home Health Agency
  • New York, NY
  • NPI 1265711238
  NPD tax ID
• Pridecare, Inc.

  • Home Health Agency
  • Hawthorne, NY
  • NPI 1821210410
  NPD tax ID

Locations

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1376902197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 HAMBURG TPKE",
            "address_2": "SUITE 2-2",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704060",
            "telephone_number": "973-832-4301",
            "fax_number": "973-832-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 HAMBURG TPKE",
            "address_2": "SUITE 2-2",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704060",
            "telephone_number": "973-832-4301",
            "fax_number": "973-832-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "MIRRA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-494-3121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NJ",
            "license": "HP0174000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Infusion Agency in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Home Infusion Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.