Organization Active NPI

Advanced Healthcare Services

  • Home Health Agency
  • Sicklerville, NJ
National Provider Identifier
1497290530
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0450123657 Issued in NJ
Legal business name
ADVANCED HEALTHCARE SERVICES
Practice address
82 Colts Neck Dr
Sicklerville, NJ 08081-5610
Phone
(646) 321-3969
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Shakirat A Brown
Title
Ceo / Owner
Phone
(646) 321-3969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0450123657 NJ Primary

Addresses

Primary practice location

82 Colts Neck Dr
Sicklerville, NJ 08081-5610

Mailing address

82 Colts Neck Dr
Sicklerville, NJ 08081-5610
Phone (646) 321-3969

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1497290530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 COLTS NECK DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815610",
            "telephone_number": "646-321-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 COLTS NECK DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815610",
            "telephone_number": "646-321-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHAKIRAT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "646-321-3969"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "0450123657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.