At Home With Van Dyk, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AT HOME WITH VAN DYK, LLC

Practice address

288 S Van Dien Ave # D
Ridgewood, NJ 07450-5226

Phone

(201) 444-4257

Fax

(201) 689-7980

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Donna Melchionda

Title

Cfo

Phone

(201) 689-7991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1417522210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 GOFFLE RD",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063452",
            "telephone_number": "973-238-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S VAN DIEN AVE # D",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505226",
            "telephone_number": "201-444-4257",
            "fax_number": "201-689-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME WITH VAN DYK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "MELCHIONDA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "201-689-7991"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.