Organization Active NPI

Bergen Community Health Care

  • Home Health Agency
  • Westwood, NJ
National Provider Identifier
1497717227
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
22256 Issued in NJ
Legal business name
BERGEN COMMUNITY HEALTH CARE
Practice address
400 Old Hook Rd
G6
Westwood, NJ 07675-2732
Phone
(201) 358-2666
Fax
(201) 722-9569
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Mr. Sidney Mitchell
Title
Ceo
Phone
(201) 358-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 22256 NJ Primary

Addresses

Primary practice location

400 Old Hook Rd
G6
Westwood, NJ 07675-2732

Mailing address

400 Old Hook Rd
G6
Westwood, NJ 07675-2732
Phone (201) 358-2666

Other identifiers 1

IdentifierTypeStateIssuer
3692701MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1497717227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OLD HOOK RD",
            "address_2": "G6",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752732",
            "telephone_number": "201-358-2666",
            "fax_number": "201-722-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OLD HOOK RD",
            "address_2": "G6",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752732",
            "telephone_number": "201-358-2666",
            "fax_number": "201-722-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN COMMUNITY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-358-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "22256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3692701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.