Active NPI
Custodial Care Services LLC
- Home Health Agency
- Jersey City, NJ
National Provider Identifier
1841553260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HP0156600
- Legal business name
- CUSTODIAL CARE SERVICES LLC
- Practice address
- 35 Journal SQ
Suite 624
Jersey City, NJ 07306-4007 - Phone
- (201) 721-6365
- Fax
- (201) 721-6366
- NPI assigned
- Jun 20, 2012
- 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
- Mr. Dennis Pe
- Title
- Managing Owner
- Phone
- (201) 721-6365
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HP0156600 | NJ | Primary |
| Nursing Care Agency | 251J00000X | HP0156600 | NJ |
Addresses
Primary practice location
35 Journal SQ
Suite 624
Jersey City, NJ 07306-4007
Mailing address
35 Journal SQ
Suite 624
Jersey City, NJ 07306-4007
Phone (201) 721-6365
National Provider Directory
National Provider Directory- Tax ID family
- Custodial Care Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- South Amboy, NJ
- NPI 1932546785
Locations
35 Journal Sq
Ste 624
Jersey City, NJ 07306
Phone (201) 721-6365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340150400000",
"number": "1841553260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 JOURNAL SQ",
"address_2": "SUITE 624",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073064007",
"telephone_number": "201-721-6365",
"fax_number": "201-721-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 JOURNAL SQ",
"address_2": "SUITE 624",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073064007",
"telephone_number": "201-721-6365",
"fax_number": "201-721-6366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTODIAL CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-20",
"last_updated": "2012-06-20",
"status": "A",
"authorized_official_last_name": "PE",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "MANAGING OWNER",
"authorized_official_telephone_number": "201-721-6365",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": "HP0156600",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NJ",
"license": "HP0156600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.