Health 1St Limited Liability Company

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0172300 Issued in NJ

Legal business name

HEALTH 1ST LIMITED LIABILITY COMPANY

Doing business as

Spectra Care

Practice address

777 Blackwood Clementon Rd
Suite E
Lindenwold, NJ 08021-5966

Phone

(856) 255-1100

Fax

(856) 255-1101

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael D Van Stine

Title

President

Phone

(856) 255-1100

Specialties & licenses 1

Addresses

Other names 1

• Spectra Care Doing business as

Locations

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1619408267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BLACKWOOD CLEMENTON RD",
            "address_2": "SUITE E",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080215966",
            "telephone_number": "856-255-1100",
            "fax_number": "856-255-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BLACKWOOD CLEMENTON RD",
            "address_2": "SUITE E",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080215966",
            "telephone_number": "856-255-1100",
            "fax_number": "856-255-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH 1ST LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "VAN STINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-255-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0172300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectra Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Lindenwold, NJ
• Providers in Lindenwold, 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 Mar 24, 2017; 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.