Edwina Vanotoo

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

0450152009 Issued in NJ

Practice address

M3 Rembrandt CT
Pine Hill, NJ 08021-6578

Phone

(856) 885-6400

NPI assigned

Jun 29, 2017

Last updated

Mar 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Impactful Senior Home Care LLC

  • Home Health Agency
  • Pine Hill, NJ
  • NPI 1275054173
  NPD Authorized official
• Angels on Guard Home Care LLC

  • In Home Supportive Care Agency
  • Lincoln University, PA
  • NPI 1871295378
  NPD Authorized official
• Impactful Human Services LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Berwyn, PA
  • NPI 1568072759
  Authorized official Same address or phone

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1407377393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FARM LN",
            "city": "LINCOLN UNIVERSITY",
            "state": "PA",
            "postal_code": "193529111",
            "telephone_number": "877-500-4742",
            "fax_number": "877-500-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M3 REMBRANDT CT",
            "city": "PINE HILL",
            "state": "NJ",
            "postal_code": "080216578",
            "telephone_number": "856-885-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOTOO",
        "first_name": "EDWINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NJ",
            "license": "0450152009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilani Townsend
• Tranquility Behavioral Health LLC
• Twin Oaks Community Service, Inc
• Twin Oaks Community Services, Inc
• Twin Oaks Community Services. Inc
• Sarah Vega
• Versatile Transportation
• Christina M Weber, MSN, RN, CEN, NPD-BC
• Shaquera M Wilcox
• Deivonne Windsor, LSW

• Personal Care Attendant in Pine Hill, NJ
• Providers in Pine Hill, NJ by specialty
• Personal Care Attendant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.