Organization Active NPI

Home Advantage Rehab LLC

  • Home Health Agency
  • West Orange, NJ
National Provider Identifier
1619211851
Registry record updated Nov 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
40QA00789300 Issued in NJ
Legal business name
HOME ADVANTAGE REHAB LLC
Practice address
1 Harper St
West Orange, NJ 07052-3635
Phone
(201) 704-4411
Fax
(862) 520-5206
NPI assigned
Nov 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2012

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

Authorized official

Name
Susan Winograd, P.T.
Title
Physical Therapist
Phone
(201) 704-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 40QA00789300 NJ Primary

Addresses

Primary practice location

1 Harper St
West Orange, NJ 07052-3635

Mailing address

1 Harper St
West Orange, NJ 07052-3635
Phone (201) 704-4411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352505600000",
    "number": "1619211851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARPER ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523635",
            "telephone_number": "201-704-4411",
            "fax_number": "862-520-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARPER ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523635",
            "telephone_number": "201-704-4411",
            "fax_number": "862-520-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME ADVANTAGE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-10",
        "last_updated": "2012-11-10",
        "status": "A",
        "authorized_official_last_name": "WINOGRAD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-704-4411",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "40QA00789300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2012; 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.