Organization Active NPI

Kabof Healthcare Services

  • Home Health Agency
  • Linden, NJ
National Provider Identifier
1790083087
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HPO152000 Issued in NJ
Legal business name
KABOF HEALTHCARE SERVICES
Practice address
225 N Wood Ave Ste 9
Linden, NJ 07036-4200
Phone
(908) 486-0891
Fax
(908) 486-0963
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mrs. Abimbola Olufunke Fagun, RN
Title
Registered Nurse
Phone
(908) 486-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HPO152000 NJ Primary

Addresses

Primary practice location

225 N Wood Ave Ste 9
Linden, NJ 07036-4200

Mailing address

225 N Wood Ave Ste 9
Linden, NJ 07036-4200
Phone (908) 486-0891

National Provider Directory

National Provider Directory

Locations

225 N Wood Ave
Ste 9
Linden, NJ 07036
Phone (908) 486-0891

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1790083087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N WOOD AVE STE 9",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364200",
            "telephone_number": "908-486-0891",
            "fax_number": "908-486-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N WOOD AVE STE 9",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364200",
            "telephone_number": "908-486-0891",
            "fax_number": "908-486-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABOF HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "FAGUN",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_middle_name": "OLUFUNKE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "908-486-0891",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HPO152000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.