NPIMap

Organization Active NPI

Homecare Rehab LLC

  • Physical Therapist
  • Parlin, NJ
National Provider Identifier
1730545880
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00710300 Issued in NJ
Legal business name
HOMECARE REHAB LLC
Practice address
25 Highland Dr
Parlin, NJ 08859-2522
Phone
(732) 610-2528
NPI assigned
Jan 5, 2016
Last updated
Jan 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Paul D Werner, ESQUIRE
Title
Representative
Phone
(609) 799-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00710300 NJ Primary

Addresses

Primary practice location

25 Highland Dr
Parlin, NJ 08859-2522

Mailing address

25 Highland Dr
Parlin, NJ 08859-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160525002480 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597054981 Receives reassigned benefits from 11 practitioners
Practice locations: Parlin, NJ
O20170929000303 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597054981 Receives reassigned benefits from 3 practitioners
Practice locations: Glenmoore, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1730545880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND DR",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088592522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND DR",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088592522",
            "telephone_number": "732-610-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "609-799-5150",
        "authorized_official_credential": "ESQUIRE"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00710300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.