Organization Active NPI

Calvary Home Care L.L.C.

  • Home Health Agency
  • Teaneck, NJ
National Provider Identifier
1649804956
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CALVARY HOME CARE L.L.C.
Practice address
362 Cedar LN
Teaneck, NJ 07666-3447
Phone
(201) 755-5058
Fax
(201) 836-3989
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Sampson Kwakyeh
Title
Owner
Phone
(201) 755-5058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

362 Cedar LN
Teaneck, NJ 07666-3447

Mailing address

867 Queen Anne Rd
Teaneck, NJ 07666-4642
Phone (201) 755-5058

National Provider Directory

National Provider Directory

Locations

362 Cedar Ln
Teaneck, NJ 07666
Phone (201) 585-2329

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1649804956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 QUEEN ANNE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664642",
            "telephone_number": "201-755-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663447",
            "telephone_number": "201-755-5058",
            "fax_number": "201-836-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY HOME CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "KWAKYEH",
        "authorized_official_first_name": "SAMPSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-755-5058"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.