Certus Healthcare Providers LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CERTUS HEALTHCARE PROVIDERS LLC

Practice address

20 Mountain Ave
Unit 3
Paterson, NJ 07501-3385

Phone

(973) 474-4995

NPI assigned

Sep 9, 2014

Last updated

Sep 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corrin Garland

Title

Owner

Phone

(973) 474-4995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1659772663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MOUNTAIN AVE",
            "address_2": "UNIT 3",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013385",
            "telephone_number": "973-474-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MOUNTAIN AVE",
            "address_2": "UNIT 3",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013385",
            "telephone_number": "973-474-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTUS HEALTHCARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "GARLAND",
        "authorized_official_first_name": "CORRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-474-4995"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.