Sacred Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SACRED HOME HEALTH CARE

Practice address

510 S Main St Ste 110
Forked River, NJ 08731-4831

Phone

(609) 528-9510

NPI assigned

Sep 20, 2024

Last updated

Sep 20, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SACRED HOME HEALTH CARE, LLCAs reported in NPPES

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

Authorized official

Name

Lyssete M Cano

Title

Director of Nursing

Phone

(973) 337-5676

Specialties & licenses 1

Addresses

Tax ID family

Sacred Home Health Care2 organizations share this tax ID, including this one

Part of

Sacred Home Health Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sacred Home Health Care

  • Home Health Agency
  • Kearny, NJ
  • NPI 1497245591
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sacred Home Health Care

  • Home Health Agency
  • Kearny, NJ
  • NPI 1497245591
  NPPES parent name

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1730906884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MIDLAND AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S MAIN ST STE 110",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314831",
            "telephone_number": "609-528-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HOME HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SACRED HOME HEALTH CARE, LLC",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "CANO",
        "authorized_official_first_name": "LYSSETE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "973-337-5676"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chenzira Raphael I
• Rem New Jersey, Inc.
• Res-Care New Jersey, Inc.
• Gina Rios
• Raymond Anthony Robinson
• Samantha Battipaglia LLC
• Gina Santoriello
• Elena Sauchelli, LMT
• Sba Therapy LLC (Steven Ashmont)
• Nicole A Scamporino, LAC

• Home Health Agency in Forked River, NJ
• Providers in Forked River, 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 Sep 20, 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.