Petemommy'S Place LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PETEMOMMY'S PLACE LLC

Practice address

70 Bedford St
East Orange, NJ 07018-1830

Phone

(917) 341-3624

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Jurdia C Garrett-Hill

Title

Owner

Phone

(917) 341-3624

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1386279180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2234",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070192234",
            "telephone_number": "973-640-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BEDFORD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181830",
            "telephone_number": "917-341-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETEMOMMY'S PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "GARRETT-HILL",
        "authorized_official_first_name": "JURDIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-341-3624"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xavier Perkins
• Katherine May Perlas, RD
• Donna Persaud, APN
• Rosetta M Persaud, PHARM D
• Rokas Perskaudas, PH.D.
• Bincy J Peter
• Todd Peters
• Andrea Petruzzell, MS, OTR
• Allison Jean Pezick, PHARMD
• Pharmacy 1 Inc

• In Home Supportive Care Agency in East Orange, NJ
• Providers in East Orange, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.