Organization Active NPI

Personalized Home Care, LTD. of N.J.

  • Home Health Agency
  • Cliffside Park, NJ
National Provider Identifier
1457569477
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0102801 Issued in NJ
Legal business name
PERSONALIZED HOME CARE, LTD. OF N.J.
Practice address
596 Anderson Ave
Cliffside Park, NJ 07010-1831
Phone
(201) 945-5100
Fax
(201) 943-6251
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sal Nicosia
Title
Comptroller
Phone
(914) 423-6410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0102801 NJ Primary

Addresses

Primary practice location

596 Anderson Ave
Cliffside Park, NJ 07010-1831

Mailing address

1 Executive Blvd
Yonkers, NY 10701-6822
Phone (914) 423-6410

Other identifiers 1

IdentifierTypeStateIssuer
06312004MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Personalized Home Care LTD of NJ2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Executive Blvd
Yonkers, NY 10701
Phone (914) 377-1855

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457569477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016822",
            "telephone_number": "914-423-6410",
            "fax_number": "914-423-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101831",
            "telephone_number": "201-945-5100",
            "fax_number": "201-943-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HOME CARE, LTD. OF N.J.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICOSIA",
        "authorized_official_first_name": "SAL",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "914-423-6410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0102801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06312004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.