Organization Active NPI

White Glove Community Care, Inc.

  • Home Health Agency
  • Brick, NJ
National Provider Identifier
1417411976
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WHITE GLOVE COMMUNITY CARE, INC.
Practice address
1470 Route 88
Brick, NJ 08724-2368
Phone
(844) 828-2666
NPI assigned
Jan 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Blima Beck
Title
Manager
Phone
(718) 828-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1470 Route 88
Brick, NJ 08724-2368

Mailing address

89 Bartlett St
Brooklyn, NY 11206-4463
Phone (718) 828-2666

Other identifiers 1

IdentifierTypeStateIssuer
0652610MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
White Glove Community Care 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.

Locations

1470 Route 88
Brick, NJ 08724

1306 River Ave
Ste 2
Lakewood, NJ 08701

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1417411976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BARTLETT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064463",
            "telephone_number": "718-828-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242368",
            "telephone_number": "844-828-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE GLOVE COMMUNITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "BLIMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-828-2666"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0652610",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.