Supportive Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0118800 Issued in NJ

Legal business name

SUPPORTIVE HEALTH, LLC

Practice address

1 Exchange PL
10TH Floor
Jersey City, NJ 07302-3920

Phone

(800) 360-3718

NPI assigned

Oct 6, 2008

Last updated

Oct 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Perrault Jean-Paul

Title

Manager

Phone

(800) 360-3718

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1730330093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXCHANGE PL",
            "address_2": "10TH FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023920",
            "telephone_number": "800-360-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXCHANGE PL",
            "address_2": "10TH FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023920",
            "telephone_number": "800-360-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "JEAN-PAUL",
        "authorized_official_first_name": "PERRAULT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-360-3718",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0118800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Jersey City, NJ
• Providers in Jersey City, 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 Oct 6, 2008; 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.