Citadel Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CITADEL HOME CARE LLC

Practice address

60 Colonial Ter
East Orange, NJ 07017-2123

Phone

(800) 589-4161

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jacques Magloire Jr.

Title

Director

Phone

(862) 881-2331

Specialties & licenses 1

Addresses

Other names 1

• WATER STREET CAPITAL Other name

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1477048197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 MLK BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021215",
            "telephone_number": "862-881-2331",
            "fax_number": "800-540-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COLONIAL TER",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172123",
            "telephone_number": "800-589-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "MAGLOIRE",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "862-881-2331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATER STREET CAPITAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yeon C. Choe, MD
• Hongsun Choi, M.D.
• Kelly Chu, PSYD
• Kim Cirino, DNP FNP-BC
• Citadel at Home LLC
• City of East Orange
• Keith F. Claffey, N.P.
• Claremont Medical & Rehab Home Care Inc
• Claremont Medical and Rehabilitation Inc.
• Ruth Lynne Clark-Brown, M.D.

• Adult Care Home Facility in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Adult Care Home Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.