Lidas Patience

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIDAS PATIENCE

Practice address

449 E 29TH St
Paterson, NJ 07514-1985

Phone

(646) 578-9026

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Kindrea Gibson

Title

Owner

Phone

(646) 578-9026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1801626684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 E 29TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 E 29TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141985",
            "telephone_number": "646-578-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIDAS PATIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KINDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-578-9026"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Paterson, NJ
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• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.