Organization Active NPI

Care at Home Agency

  • Home Health Agency
  • Matawan, NJ
National Provider Identifier
1407674526
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARE AT HOME AGENCY
Practice address
213 Main St Ste 102a
Matawan, NJ 07747-3221
Phone
(732) 812-8012
Fax
(732) 812-8093
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Gloria Ofosu-Koranteng
Title
Director
Phone
(732) 236-0876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

213 Main St Ste 102a
Matawan, NJ 07747-3221

Mailing address

213 Main St Ste 102a
Matawan, NJ 07747-3221
Phone (732) 812-8012

Other names 1

  • Care At Home Agency LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

213 Main St
Ste 102A
Matawan, NJ 07747
Phone (646) 387-8065

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1407674526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MAIN ST STE 102A",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473221",
            "telephone_number": "732-812-8012",
            "fax_number": "732-812-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MAIN ST STE 102A",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473221",
            "telephone_number": "732-812-8012",
            "fax_number": "732-812-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AT HOME AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "OFOSU-KORANTENG",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-236-0876"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care At Home Agency LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Care At Home Agency LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.