Organization Active NPI

Eldercare of Elizabeth

  • Adult Day Care Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1669697280
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
908116 Issued in NJ
Legal business name
ELDERCARE OF ELIZABETH
Practice address
550 N Broad St
Elizabeth, NJ 07208-3302
Phone
(908) 994-0050
Fax
(908) 994-0056
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Harold C. Herskowitz, LNHA
Title
Administrator
Phone
(908) 994-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 908116 NJ Primary

Addresses

Primary practice location

550 N Broad St
Elizabeth, NJ 07208-3302

Mailing address

550 N Broad St
Elizabeth, NJ 07208-3302
Phone (908) 994-0050

Other names 1

  • HOME SWEET HOME ADC Doing business as

National Provider Directory

National Provider Directory

Locations

550 N Broad St
Elizabeth, NJ 07208
Phone (908) 469-6233

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669697280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083302",
            "telephone_number": "908-994-0050",
            "fax_number": "908-994-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083302",
            "telephone_number": "908-994-0050",
            "fax_number": "908-994-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE OF ELIZABETH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERSKOWITZ",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "908-994-0050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "908116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME SWEET HOME ADC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.