Private Aid Contractor, LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

PRIVATE AID CONTRACTOR, LLC

Doing business as

Private Aid Contractor, LLC

Practice address

764 Palisade Ave # 2B
Teaneck, NJ 07666-3129

Phone

(973) 955-9118

Fax

(201) 357-5478

NPI assigned

Mar 3, 2021

Last updated

Nov 14, 2022By 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

Ms. Jaquilo D BottiniNPI 1003327727

Title

Ceo

Phone

(973) 955-9118

Specialties & licenses 1

Addresses

Other names 1

• Private Aid Contractor, LLC Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaquilo D Bottini

  • Home Health Registered Nurse
  • Teaneck, NJ
  • NPI 1003327727
  NPD Authorized official

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1538754403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 PALISADE AVE # 2B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663129",
            "telephone_number": "973-955-9118",
            "fax_number": "201-357-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 PALISADE AVE # 2B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663129",
            "telephone_number": "973-955-9118",
            "fax_number": "201-357-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE AID CONTRACTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "BOTTINI",
        "authorized_official_first_name": "JAQUILO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-955-9118",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://privateaidcontractor.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "764 Palisade Ave # 2B",
            "city": "Teaneck",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076663129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Private Aid Contractor, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Registered Nurse in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Home Health Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.