Active NPI
Sweet Home Adult Medical Day Care Inc
- Adult Day Care Clinic/Center
- Clifton, NJ
National Provider Identifier
1841318482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- SWEET HOME ADULT MEDICAL DAY CARE INC
- Practice address
- 45 E Madison Ave
Clifton, NJ 07011-2381 - Phone
- (973) 478-4200
- Fax
- (973) 478-3331
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carolyn Zakrevsky
- Title
- Administrator
- Phone
- (973) 478-4200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Adult Care Home Facility | 311ZA0620X | 708115 | NJ |
Addresses
Primary practice location
45 E Madison Ave
Clifton, NJ 07011-2381
Mailing address
45 E Madison Ave
Clifton, NJ 07011-2381
Phone (973) 478-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011312 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Sweet Home Adc Inc Social Daycare Program
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Clifton, NJ
- NPI 1134421472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707696000000",
"number": "1841318482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E MADISON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070112381",
"telephone_number": "973-478-4200",
"fax_number": "973-478-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 E MADISON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070112381",
"telephone_number": "973-478-4200",
"fax_number": "973-478-3331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEET HOME ADULT MEDICAL DAY CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A",
"authorized_official_last_name": "ZAKREVSKY",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "973-478-4200",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NJ",
"license": "708115",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011312",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.