My Day Home, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

082305 Issued in NJ

Legal business name

MY DAY HOME, LLC

Practice address

120 Commerce Way
Totowa, NJ 07512-1158

Phone

(973) 890-5888

Fax

(973) 890-2755

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Aracely Hernandez

Title

Administrator

Phone

(973) 890-5888

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750435798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 COMMERCE WAY",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121158",
            "telephone_number": "973-890-5888",
            "fax_number": "973-890-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COMMERCE WAY",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121158",
            "telephone_number": "973-890-5888",
            "fax_number": "973-890-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DAY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ARACELY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-890-5888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "082305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038687",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.