Organization Active NPI

Total Independent Community Inclusion of NJ

  • In Home Supportive Care Agency
  • Irvington, NJ
National Provider Identifier
1588097000
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TOTAL INDEPENDENT COMMUNITY INCLUSION OF NJ
Practice address
24 Linden Ave
Irvington, NJ 07111-2521
Phone
(973) 393-1256
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Mr. Tony Ihuoma
Title
Ceo
Phone
(973) 393-1256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

24 Linden Ave
Irvington, NJ 07111-2521

Mailing address

24 Linden Ave
Irvington, NJ 07111-2521
Phone (973) 393-1256

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1588097000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LINDEN AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112521",
            "telephone_number": "973-393-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LINDEN AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112521",
            "telephone_number": "973-393-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL INDEPENDENT COMMUNITY INCLUSION OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "IHUOMA",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-393-1256",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.