Organization Active NPI

LG Healthcare Dba Bava Homecare

  • In Home Supportive Care Agency
  • Hackensack, NJ
National Provider Identifier
1740884972
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LG HEALTHCARE DBA BAVA HOMECARE
Practice address
411 Hackensack Ave Ste 200
Hackensack, NJ 07601-6451
Phone
(716) 796-8439
NPI assigned
Nov 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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

Authorized official

Name
Ashish Lall
Title
Partner
Phone
(716) 796-8439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

411 Hackensack Ave Ste 200
Hackensack, NJ 07601-6451

Mailing address

411 Hackensack Ave Ste 200
Hackensack, NJ 07601-6451
Phone (716) 796-8439

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606608000000",
    "number": "1740884972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HACKENSACK AVE STE 200",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016451",
            "telephone_number": "716-796-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HACKENSACK AVE STE 200",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016451",
            "telephone_number": "716-796-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG HEALTHCARE DBA BAVA HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A",
        "authorized_official_last_name": "LALL",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "716-796-8439"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.