Active NPI
Immaculate Essential Care, LLC
- In Home Supportive Care Agency
- Cherry Hill, NJ
National Provider Identifier
1447935242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- IMMACULATE ESSENTIAL CARE, LLC
- Practice address
- 4 Haddonfield Rd Ste 204
Cherry Hill, NJ 08002-1467 - Phone
- (856) 524-3140
- Fax
- (855) 674-1833
- NPI assigned
- Jun 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frederick Polley
- Title
- Director
- Phone
- (856) 524-3140
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Respite Care | 385H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
4 Haddonfield Rd Ste 204
Cherry Hill, NJ 08002-1467
Mailing address
2995 Chapel Ave W Apt 1S
Cherry Hill, NJ 08002-3911
Phone (856) 524-3140
National Provider Directory
National Provider Directory- Tax ID family
- Immaculate Essential Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Cherry Hill, NJ
- NPI 1982317467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687132800000",
"number": "1447935242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 CHAPEL AVE W APT 1S",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080023911",
"telephone_number": "856-524-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 HADDONFIELD RD STE 204",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080021467",
"telephone_number": "856-524-3140",
"fax_number": "855-674-1833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMACULATE ESSENTIAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-19",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A",
"authorized_official_last_name": "POLLEY",
"authorized_official_first_name": "FREDERICK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "856-524-3140"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.