St. Mark Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0175700 Issued in NJ

Legal business name

ST. MARK HOME CARE

Practice address

871 Bergen Ave
3Rd Floor Suite 8
Jersey City, NJ 07306-4412

Phone

(201) 435-6530

Fax

(201) 435-6540

NPI assigned

Jul 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Raafat Samy Zakhary

Title

Director of Operation

Phone

(201) 435-6530

Specialties & licenses 1

Addresses

Tax ID family

St Mark Home Care2 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.

• St Mark Home Care LLC

  • Home Health Agency
  • Jersey City, NJ
  • NPI 1073979167
  NPD tax ID

Locations

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1457767964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 BERGEN AVE",
            "address_2": "3RD FLOOR SUITE 8",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064412",
            "telephone_number": "201-435-6530",
            "fax_number": "201-435-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 BERGEN AVE",
            "address_2": "3RD FLOOR SUITE 8",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064412",
            "telephone_number": "201-435-6530",
            "fax_number": "201-435-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARK HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "ZAKHARY",
        "authorized_official_first_name": "RAAFAT",
        "authorized_official_middle_name": "SAMY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "201-435-6530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0175700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gina Staltare, CRNFA
• Brittany Lynn Stanley

• Home Health Agency in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.