Organization Active NPI

Virtua Home Care -Commumity Nursing Services Inc

  • Home Health Agency
  • Mount Laurel, NJ
National Provider Identifier
1386054294
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0107900 Issued in NJ
Legal business name
VIRTUA HOME CARE -COMMUMITY NURSING SERVICES INC
Practice address
523 Fellowship Rd
Suite 250
Mount Laurel, NJ 08054-3414
Phone
(856) 581-7214
NPI assigned
Apr 30, 2014
Organization subpart
Yes
Parent organization
VIRTUA HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Robert Segin
Title
Cfo/Evp
Phone
(856) 355-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0107900 NJ Primary

Addresses

Primary practice location

523 Fellowship Rd
Suite 250
Mount Laurel, NJ 08054-3414

Mailing address

523 Fellowship Rd
Suite 250
Mount Laurel, NJ 08054-3414
Phone (856) 581-7214

Other identifiers 1

IdentifierTypeStateIssuer
8475300MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Virtua Home Care -Community2 organizations share this tax ID, including this one
Part of
Virtua Health Inc

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1386054294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 FELLOWSHIP RD",
            "address_2": "SUITE 250",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543414",
            "telephone_number": "856-581-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 FELLOWSHIP RD",
            "address_2": "SUITE 250",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543414",
            "telephone_number": "856-581-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUA HOME CARE -COMMUMITY NURSING SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRTUA HEALTH INC",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "SEGIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO/EVP",
        "authorized_official_telephone_number": "856-355-0040"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0107900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8475300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.