Organization Active NPI

Apn Home Care of NJ LLC

  • Home Health Agency
  • Mountainside, NJ
National Provider Identifier
1841687209
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
APN HOME CARE OF NJ LLC
Practice address
173 Locust Ave
Mountainside, NJ 07092-2607
Phone
(908) 462-4872
NPI assigned
Apr 22, 2015
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Dionne HoltNPI 1477951440
Title
Ceo/Family Nurse Practitioner
Phone
(908) 467-4872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NJ Primary

Addresses

Primary practice location

173 Locust Ave
Mountainside, NJ 07092-2607

Mailing address

173 Locust Ave
Mountainside, NJ 07092-2607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150519002187 NJ Part B Supplier - Clinic/Group Practice 8426378258 Receives reassigned benefits from 1 practitioner
Practice locations: Mountainside, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1841687209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 LOCUST AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 LOCUST AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922607",
            "telephone_number": "908-462-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APN HOME CARE OF NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_title_or_position": "CEO/FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "908-467-4872"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.