Sam Community Services LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

SAM COMMUNITY SERVICES LLC

Practice address

1200 Clinton Ave Ste 100B1
Irvington, NJ 07111-2070

Phone

(862) 576-3281

NPI assigned

Jun 23, 2025

Organization subpart

No

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

Authorized official

Name

Folashade Adebiyi

Title

Manager

Phone

(862) 576-3281

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1801783592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CLINTON AVE STE 100B",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CLINTON AVE STE 100B1",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112070",
            "telephone_number": "862-576-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "ADEBIYI",
        "authorized_official_first_name": "FOLASHADE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "862-576-3281"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Homemaker in Irvington, NJ
• Providers in Irvington, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.