Organization Active NPI

Carebridge Home Care, LLC

  • Home Health Aide
  • Sea Girt, NJ
National Provider Identifier
1700389103
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HP0148000 Issued in NJ
Legal business name
CAREBRIDGE HOME CARE, LLC
Practice address
701 Brooklyn Blvd
Sea Girt, NJ 08750-1400
Phone
(732) 722-7800
Fax
(732) 722-7799
NPI assigned
Mar 12, 2018
Last updated
Mar 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Mr. Christopher Bonavita
Title
Owner
Phone
(732) 722-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HP0148000 NJ Primary

Addresses

Primary practice location

701 Brooklyn Blvd
Sea Girt, NJ 08750-1400

Mailing address

701 Brooklyn Blvd
Sea Girt, NJ 08750-1400
Phone (732) 722-7800

Other identifiers 1

IdentifierTypeStateIssuer
HP0148000OtherNJHEALTH CARE SERVICE FIRM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1700389103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BROOKLYN BLVD",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501400",
            "telephone_number": "732-722-7800",
            "fax_number": "732-722-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BROOKLYN BLVD",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501400",
            "telephone_number": "732-722-7800",
            "fax_number": "732-722-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREBRIDGE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "BONAVITA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-722-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NJ",
            "license": "HP0148000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE SERVICE FIRM",
            "identifier": "HP0148000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.