Organization Active NPI

Wanda Best Health Care, Inc

  • Home Health Agency
  • Roselle, NJ
National Provider Identifier
1629121306
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0219500 Issued in NJ
Legal business name
WANDA BEST HEALTH CARE, INC
Practice address
108 Chestnut St
Suite 201
Roselle, NJ 07203-2583
Phone
(908) 245-1700
Fax
(908) 245-2569
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Lillie Faulk, RN
Title
President Owner
Phone
(908) 245-1700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0219500 NJ Primary
Home Health Agency 251E00000X HP0219501 NJ

Addresses

Primary practice location

108 Chestnut St
Suite 201
Roselle, NJ 07203-2583

Mailing address

108 Chestnut St
Suite 202
Roselle, NJ 07203-2583
Phone (908) 245-1700

Other identifiers 1

IdentifierTypeStateIssuer
7989008MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Wanda Best Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

108 Chestnut St
Ste 201
Roselle, NJ 07203
Phone (908) 245-1700

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1629121306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CHESTNUT ST",
            "address_2": "SUITE 202",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032583",
            "telephone_number": "908-245-1700",
            "fax_number": "908-245-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CHESTNUT ST",
            "address_2": "SUITE 201",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032583",
            "telephone_number": "908-245-1700",
            "fax_number": "908-245-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDA BEST HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "FAULK",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "908-245-1700",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0219500",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0219501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7989008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.