Organization Active NPI

Jimbo Enterprise Inc.

Doing business as ComForcare senior Services

  • Home Health Agency
  • Freehold, NJ
National Provider Identifier
1629380886
Registry record updated Jul 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0139800 Issued in NJ
Legal business name
JIMBO ENTERPRISE INC.
Doing business as
ComForcare senior Services
Practice address
4400 US Highway 9 Ste 1000
Freehold, NJ 07728-1383
Phone
(732) 591-8100
Fax
(732) 860-0711
NPI assigned
Jul 5, 2010
Last updated
Jul 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2010

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

Authorized official

Name
Mr. James Del Vecchio
Title
President
Phone
(732) 591-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0139800 NJ Primary

Addresses

Primary practice location

4400 US Highway 9 Ste 1000
Freehold, NJ 07728-1383

Mailing address

4400 US Highway 9 Ste 1000
Freehold, NJ 07728-1383
Phone (732) 591-8100

Other names 1

  • ComForcare senior Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278288000000",
    "number": "1629380886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 US HIGHWAY 9 STE 1000",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281383",
            "telephone_number": "732-591-8100",
            "fax_number": "732-860-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 US HIGHWAY 9 STE 1000",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281383",
            "telephone_number": "732-591-8100",
            "fax_number": "732-860-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMBO ENTERPRISE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-05",
        "last_updated": "2010-07-05",
        "status": "A",
        "authorized_official_last_name": "DEL VECCHIO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-591-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0139800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.