Organization Active NPI

Successful Concepts Inc.

Doing business as FirstLight Home Care

  • In Home Supportive Care Agency
  • Mendham, NJ
National Provider Identifier
1619422284
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HP0238200 Issued in NJ
Legal business name
SUCCESSFUL CONCEPTS INC.
Doing business as
FirstLight Home Care
Practice address
5 Cold Hill Rd S Ste 18
Mendham, NJ 07945-3208
Phone
(862) 284-7025
Fax
(862) 284-7164
NPI assigned
Aug 23, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Ms. Liya Liu
Title
President and Ceo
Phone
(862) 325-3459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HP0238200 NJ Primary

Addresses

Primary practice location

5 Cold Hill Rd S Ste 18
Mendham, NJ 07945-3208

Mailing address

25 Roc Etam Rd
Randolph, NJ 07869-2427
Phone (862) 325-3459

Other names 1

  • FirstLight Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

5 Cold Hill Rd S
Ste 18
Mendham, NJ 07945
Phone (973) 543-0500

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1619422284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROC ETAM RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692427",
            "telephone_number": "862-325-3459",
            "fax_number": "862-284-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COLD HILL RD S STE 18",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079453208",
            "telephone_number": "862-284-7025",
            "fax_number": "862-284-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL CONCEPTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "LIYA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "862-325-3459",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "HP0238200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mendham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.