Organization Active NPI

Sweet Home Adult Medical Day Care Inc

  • Adult Day Care Clinic/Center
  • Clifton, NJ
National Provider Identifier
1841318482
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Feb 12, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0011312MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Sweet Home Adc Inc Social Daycare Program2 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.

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.

Verify at the official NPI Registry.