Organization Active NPI

Senior Solution Agency LLC

  • Home Health Agency
  • Palisades Park, NJ
National Provider Identifier
1417514787
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENIOR SOLUTION AGENCY LLC
Practice address
7 Broad Ave Suite 206
Palisades Park, NJ 07650-1886
Phone
(201) 450-2195
NPI assigned
May 22, 2019
Organization subpart
Yes
Parent organization
SENIOR SOLUTION AGENCY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Soo EoNPI 1720607922
Title
Owner
Phone
(201) 313-0131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7 Broad Ave Suite 206
Palisades Park, NJ 07650-1886

Mailing address

7 Broad Ave Suite 206
Palisades Park, NJ 07650-1886

Other identifiers 1

IdentifierTypeStateIssuer
0658642MedicaidNJ

Other names 1

  • SSA Home and Healthcare Doing business as

National Provider Directory

National Provider Directory
Part of
Senior Solution Agency LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1417514787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BROAD AVE SUITE 206",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BROAD AVE SUITE 206",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501886",
            "telephone_number": "201-450-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SOLUTION AGENCY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR SOLUTION AGENCY LLC",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "EO",
        "authorized_official_first_name": "SOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-313-0131"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0658642",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSA Home and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palisades Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.