Home Heritage

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HOME HERITAGE

Practice address

76 E Westfield Ave Apt 10
Roselle Park, NJ 07204-2237

Phone

(908) 917-1285

NPI assigned

Dec 31, 2020

Organization subpart

No

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

Authorized official

Name

Abayomi Olusola Okunnubi

Title

Ceo

Phone

(908) 917-1285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1417544800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 E WESTFIELD AVE APT 10",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042237",
            "telephone_number": "908-917-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 E WESTFIELD AVE APT 10",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042237",
            "telephone_number": "908-917-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HERITAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "OKUNNUBI",
        "authorized_official_first_name": "ABAYOMI",
        "authorized_official_middle_name": "OLUSOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-917-1285"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Roselle Park, NJ
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

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