St.Bernadine Home Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0400556742 Issued in NJ

Legal business name

ST.BERNADINE HOME CARE SERVICES, LLC

Practice address

591 Summit Ave
Suite 411
Jersey City, NJ 07306-2714

Phone

(201) 360-3640

Fax

(201) 918-2207

NPI assigned

Aug 6, 2013

Last updated

Aug 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bernardina Samin

Title

President

Phone

(201) 360-3640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1477985075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 SUMMIT AVE",
            "address_2": "SUITE 411",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062714",
            "telephone_number": "201-360-3640",
            "fax_number": "201-918-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 SUMMIT AVE",
            "address_2": "SUITE 411",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062714",
            "telephone_number": "201-360-3640",
            "fax_number": "201-918-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.BERNADINE HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "SAMIN",
        "authorized_official_first_name": "BERNARDINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-360-3640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "0400556742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 6, 2013; 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.