Active NPI
Advanced Home Health Services
- Home Health Agency
- East Orange, NJ
National Provider Identifier
1811278633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ADVANCED HOME HEALTH SERVICES
- Practice address
- 167 South Harrison Street
East Orange, NJ 07018-1501 - Phone
- (570) 369-9302
- NPI assigned
- Sep 7, 2011
- Organization subpart
- No
National Provider Directory
National Provider DirectoryNPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gwendolyn Watford, RN
- Title
- Owner
- Phone
- (570) 369-9302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
167 South Harrison Street
East Orange, NJ 07018-1501
Mailing address
167 South Harrison Street
East Orange, NJ 07018-1501
Phone (570) 369-9302
NPI Registry JSON
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315353600000",
"number": "1811278633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 SOUTH HARRISON STREET",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181501",
"telephone_number": "570-369-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 SOUTH HARRISON STREET",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181501",
"telephone_number": "570-369-9302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED HOME HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A",
"authorized_official_last_name": "WATFORD",
"authorized_official_first_name": "GWENDOLYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-369-9302",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.