Active NPI
Home Advantage Rehab LLC
- Home Health Agency
- West Orange, NJ
National Provider Identifier
1619211851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 40QA00789300
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.