Organization Active NPI

Custodial Care Services LLC

  • Home Health Agency
  • Jersey City, NJ
National Provider Identifier
1841553260
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0156600 Issued in NJ
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

Updated by the provider on Jun 20, 2012

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)CodeLicenseStatePrimary
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 LLC2 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.

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.

Verify at the official NPI Registry.