Organization Active NPI

Elderly Mind and Spirts

  • Home Health Agency
  • Newark, NJ
National Provider Identifier
1447580618
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELDERLY MIND AND SPIRTS
Practice address
147 Fairmount Ave FL 1
Newark, NJ 07103-2432
Phone
(908) 486-0337
NPI assigned
Jan 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Miss Monique Sierra Davis
Title
General Partner
Phone
(973) 847-1526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

147 Fairmount Ave FL 1
Newark, NJ 07103-2432

Mailing address

147 Fairmount Ave FL 1
Newark, NJ 07103-2432
Phone (973) 486-0337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1447580618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 FAIRMOUNT AVE FL 1",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032432",
            "telephone_number": "973-486-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 FAIRMOUNT AVE FL 1",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032432",
            "telephone_number": "908-486-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY MIND AND SPIRTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "SIERRA",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "973-847-1526",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.