Organization Active NPI

Garden State Eldercare

  • In Home Supportive Care Agency
  • South Orange, NJ
National Provider Identifier
1801289475
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GARDEN STATE ELDERCARE
Practice address
71 Valley St Ste 300B
South Orange, NJ 07079-2825
Phone
(973) 378-9100
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Mr. Ethan KasselNPI 1437359783
Title
Co-Owner
Phone
(973) 378-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

71 Valley St Ste 300B
South Orange, NJ 07079-2825

Mailing address

71 Valley St Ste 300B
South Orange, NJ 07079-2825
Phone (973) 378-9100

National Provider Directory

National Provider Directory

Locations

71 Valley St
Ste 300B
South Orange, NJ 07079
Phone (973) 378-9100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1801289475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 VALLEY ST STE 300B",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792825",
            "telephone_number": "973-378-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 VALLEY ST STE 300B",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792825",
            "telephone_number": "973-378-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE ELDERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "KASSEL",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "973-378-9100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.