Organization Active NPI

Interim Healthcare of Saddle Brook, Inc.

  • Home Health Agency
  • Saddle Brook, NJ
National Provider Identifier
1609095314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0011201 Issued in NJ
Legal business name
INTERIM HEALTHCARE OF SADDLE BROOK, INC.
Practice address
15 5TH Street
Saddle Brook, NJ 07663
Phone
(201) 843-0190
Fax
(201) 843-3284
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Lewandoski
Title
President Ceo
Phone
(201) 843-0190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0011201 NJ Primary

Addresses

Primary practice location

15 5TH Street
Saddle Brook, NJ 07663

Mailing address

15 5TH Street
Saddle Brook, NJ 07663
Phone (201) 843-0190

Other identifiers 2

IdentifierTypeStateIssuer
0068802MedicaidNJ
A490345OtherNJOXFORD HEALTH INS. ID

National Provider Directory

National Provider Directory

Locations

15 N 5th St
Saddle Brook, NJ 07663
Phone (201) 843-0190

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609095314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 5TH STREET",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "07663",
            "telephone_number": "201-843-0190",
            "fax_number": "201-843-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 5TH STREET",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "07663",
            "telephone_number": "201-843-0190",
            "fax_number": "201-843-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF SADDLE BROOK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWANDOSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "201-843-0190",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0011201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068802",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH INS. ID",
            "identifier": "A490345",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.