Organization Active NPI

Excellent Homecare of South Jersey

  • Home Health Agency
  • Vineland, NJ
National Provider Identifier
1427484278
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0179000 Issued in NJ
Legal business name
EXCELLENT HOMECARE OF SOUTH JERSEY
Practice address
1199 E Park Ave
Suite B
Vineland, NJ 08360-3369
Phone
(856) 265-0710
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Stephen A Tucker
Title
Executive Director
Phone
(609) 440-9160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0179000 NJ Primary
Home Health Agency 251E00000X HP0179200 NJ

Addresses

Primary practice location

1199 E Park Ave
Suite B
Vineland, NJ 08360-3369

Mailing address

1199 E Park Ave
Suite B
Vineland, NJ 08360-3369
Phone (856) 265-0710

National Provider Directory

National Provider Directory

Locations

1199 E Park Ave
#B
Vineland, NJ 08360
Phone (856) 265-0710

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1427484278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 E PARK AVE",
            "address_2": "SUITE B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603369",
            "telephone_number": "856-265-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 E PARK AVE",
            "address_2": "SUITE B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603369",
            "telephone_number": "856-265-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT HOMECARE OF SOUTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-440-9160"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0179000",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0179200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.