Karen Ann Quinlan Memorial Foundation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

22270 Issued in NJ

Legal business name

KAREN ANN QUINLAN MEMORIAL FOUNDATION

Practice address

755 Memorial Pkwy
BLDG 303 Suite 303a
Phillipsburg, NJ 08865-2748

Phone

(973) 383-0115

Fax

(973) 383-6889

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Cecelia T Clayton, MPH

Title

Executive Director

Phone

(973) 383-0115

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KAQ Home Care, Inc. Doing business as

Locations

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1609874296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SPARTA AVE",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602614",
            "telephone_number": "973-383-0115",
            "fax_number": "973-383-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY",
            "address_2": "BLDG 303 SUITE 303A",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652748",
            "telephone_number": "973-383-0115",
            "fax_number": "973-383-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN ANN QUINLAN MEMORIAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-383-0115",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "22270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7711808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAQ Home Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana M Kabisch, LPC
• Monica Kachwalla, DDS
• Kaleidoscope Medical Associates, PA
• Tejvir Singh Kandola
• Thomas Evans Kantor, MD
• Jenika Karnik, MS, BCBA
• Kevin Kassick, LPC, LCADC
• Kathryn H Martinez PMH-NP Mba LLC
• Jasmine Kaur, MD
• Svetlana Kaye, PA

• Home Health Agency in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.