Agewell Homecare Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AGEWELL HOMECARE AGENCY LLC

Practice address

30 Wilson Ave
Totowa, NJ 07512-2417

Phone

(862) 668-2573

NPI assigned

Sep 2, 2024

Organization subpart

No

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

Authorized official

Name

Edward Barnes

Title

Administrator/Owner

Phone

(862) 668-2573

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1831923747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WILSON AVE",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122417",
            "telephone_number": "862-668-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WILSON AVE",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122417",
            "telephone_number": "862-668-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGEWELL HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-01",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "862-668-2573"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.