Active NPI
Senior Solution Agency LLC
- Home Health Agency
- Palisades Park, NJ
National Provider Identifier
1417514787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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 LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Soo Eo
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0658642 | Medicaid | NJ |
Other names 1
- SSA Home and Healthcare
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.
-
- Home Health Agency
- Palisades Park, NJ
- NPI 1144772872
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Palisades Park, NJ
- NPI 1720607922
-
- Health Educator
- Palisades Park, NJ
- NPI 1750876009
-
- Registered Nurse
- Palisades Park, NJ
- NPI 1194217174
-
- Professional Counselor
- Palisades Park, NJ
- NPI 1063904134
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.