Homestay Senior Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0072700 Issued in NJ

Legal business name

HOMESTAY SENIOR CARE LLC

Practice address

812 State Rd
Suite 105
Princeton, NJ 08540-1400

Phone

(609) 430-8499

NPI assigned

Mar 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christian Kongolo

Title

Director of Services

Phone

(609) 430-8499

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699743237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 STATE RD",
            "address_2": "SUITE 105",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401400",
            "telephone_number": "609-430-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 STATE RD",
            "address_2": "SUITE 105",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401400",
            "telephone_number": "609-430-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTAY SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KONGOLO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "609-430-8499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0072700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissia D Holliman-Neal
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• Richard Holstein, D.M.D.
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• Home Health Agency in Princeton, NJ
• Providers in Princeton, 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 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.