Centurion Enterprises Dba Homewell Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CENTURION ENTERPRISES DBA HOMEWELL CARE SERVICES

Practice address

15 Dyatt PL
Floor 2
Hackensack, NJ 07601-6004

Phone

(201) 487-9220

Fax

(201) 487-9221

NPI assigned

Jun 9, 2015

Last updated

Sep 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Coyle

Title

Executive Vice President

Phone

(201) 487-9220

Specialties & licenses 1

Addresses

Tax ID family

Centurion Enterprises2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Centurion Enterprises

  dba HomeWell Senior Care

  • Home Health Agency
  • Hackensack, NJ
  • NPI 1851843577
  NPD tax ID

Locations

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1831570480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DYATT PL",
            "address_2": "FLOOR 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016004",
            "telephone_number": "201-487-9220",
            "fax_number": "201-487-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DYATT PL",
            "address_2": "FLOOR 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016004",
            "telephone_number": "201-487-9220",
            "fax_number": "201-487-9221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Route 22 E Ste 301",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070833410",
            "country_code": "US",
            "telephone_number": "908-302-0200",
            "fax_number": "908-810-1133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Chambers Bridge Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087233491",
            "country_code": "US",
            "telephone_number": "732-451-8200",
            "fax_number": "732-451-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTURION ENTERPRISES DBA HOMEWELL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "201-487-9220"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Neurocognitive Therapy, LLC
• Center for Pain Management
• Center for Vein Restoration NJ LLC
• Center for Vein Restoration NJ LLC
• Centurion Enterprises (HomeWell Senior Care)
• Dawn M Cerruto, LSW
• Carlos E Cesar, MD
• David S Cha
• Dong Young Cha
• Kanchi Chadha, M.D.

• In Home Supportive Care Agency in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• 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 Sep 14, 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.