Puerto Rican Association for Human Development, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0177700 Issued in NJ

Legal business name

PUERTO RICAN ASSOCIATION FOR HUMAN DEVELOPMENT, INC

Practice address

100 1St St
Perth Amboy, NJ 08861-4645

Phone

(732) 638-2830

Fax

(732) 826-3082

NPI assigned

Mar 16, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Blanca Guerrero

Title

Manager

Phone

(732) 638-2830

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Puerto Rican Association for Human Development, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1659874519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 1ST ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614645",
            "telephone_number": "732-638-2830",
            "fax_number": "732-826-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 1ST ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614645",
            "telephone_number": "732-638-2830",
            "fax_number": "732-826-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICAN ASSOCIATION FOR HUMAN DEVELOPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-638-2830",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0177700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0538108",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0491161",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puerto Rican Association for Human Development, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.