NPIMap

Organization Active NPI

Essex Medical Day Care LLC

Doing business as Home Away From Home

  • Developmentally Disabled Services Day Training Agency
  • Nutley, NJ
National Provider Identifier
1780396671
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ESSEX MEDICAL DAY CARE LLC
Doing business as
Home Away From Home
Practice address
263 Hillside Ave
Nutley, NJ 07110-1180
Phone
(973) 662-9191
NPI assigned
Dec 22, 2022
Last updated
Dec 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Bazhana Rubin
Title
Owner
Phone
(973) 662-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

263 Hillside Ave
Nutley, NJ 07110-1180

Mailing address

263 Hillside Ave
Nutley, NJ 07110-1180
Phone (973) 662-9191

Other names 1

  • Home Away From Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Essex Medical Day Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1780396671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 HILLSIDE AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101180",
            "telephone_number": "973-662-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 HILLSIDE AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101180",
            "telephone_number": "973-662-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX MEDICAL DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "BAZHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-662-9191"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Away From Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.