Auxiliary Home Care

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

AUXILIARY HOME CARE

Practice address

283 N 8TH St
Prospect Park, NJ 07508-2038

Phone

(973) 767-6772

NPI assigned

Mar 27, 2024

Last updated

Mar 27, 2024By 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

Samantha Liza Demitro

Title

Ceo

Phone

(973) 767-6772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1487405775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 N 8TH ST",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 N 8TH ST",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082038",
            "telephone_number": "973-767-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUXILIARY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "DEMITRO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LIZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-767-6772"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Day Training/Habilitation Specialist in Prospect Park, NJ
• Providers in Prospect Park, NJ by specialty
• Day Training/Habilitation Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.