J&C Picache - Igwt

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0122300 Issued in NJ

Legal business name

J&C PICACHE - IGWT

Doing business as

ComForcare Senior Services

Practice address

61 N Washington Ave
Bergenfield, NJ 07621-1751

Phone

(201) 962-3222

Fax

(201) 962-3737

NPI assigned

Jun 8, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan G Picache

Title

Managing Partner

Phone

(201) 962-3222

Specialties & licenses 1

Addresses

Other names 1

• ComForcare Senior Services Doing business as

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1467688135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FOX HILL RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581314",
            "telephone_number": "201-962-3222",
            "fax_number": "201-962-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211751",
            "telephone_number": "201-962-3222",
            "fax_number": "201-962-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&C PICACHE - IGWT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "PICACHE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "201-962-3222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0122300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.