Organization Active NPI

NJ Star Home Care Agency LLC

  • Home Health Aide
  • Union, NJ
National Provider Identifier
1710758040
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
NJ STAR HOME CARE AGENCY LLC
Doing business as
NJ Star Home Care Agency LLC
Practice address
1235 Morris Avenue, Suite 101.
Union, NJ 07083-3344
Phone
(646) 262-0351
NPI assigned
Jan 15, 2024
Last updated
Jan 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Ms. Marina Israilov
Title
Ceo
Phone
(646) 262-0351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

1235 Morris Avenue, Suite 101.
Union, NJ 07083-3344

Mailing address

1235 Morris Avenue, Suite 101.
Union, NJ 07083-3344
Phone (646) 262-0351

Other names 1

  • NJ STAR HOME CARE AGENCY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1235 Morris Ave
Ste 101
Union, NJ 07083
Phone (646) 262-0351

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1710758040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 MORRIS AVENUE, SUITE 101.",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833344",
            "telephone_number": "646-262-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 MORRIS AVENUE, SUITE 101.",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833344",
            "telephone_number": "646-262-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ STAR HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "ISRAILOV",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-262-0351",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NJ STAR HOME CARE AGENCY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.