Citadel at Home LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CITADEL AT HOME LLC

Doing business as

Citadel Home Care

Practice address

4400 Route 9 S Ste 1000
Freehold, NJ 07728-1383

Phone

(973) 412-3400

Fax

(973) 412-3401

NPI assigned

Jun 12, 2019

Organization subpart

Yes

Parent organization

CITADEL AT HOME LLCAs reported in NPPES

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

Authorized official

Name

Carol Shafir, RN

Title

Administrator

Phone

(917) 805-0702

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Citadel Home Care Doing business as

Electronic endpoints 1

Tax ID family

Citadel at Home LLC2 organizations share this tax ID, including this one

Part of

Citadel at Home LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Citadel at Home LLC

  • In Home Supportive Care Agency
  • East Orange, NJ
  • NPI 1205310018
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Citadel at Home LLC

  • In Home Supportive Care Agency
  • East Orange, NJ
  • NPI 1205310018
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory T Crawford, OT

  • Occupational Therapist
  • Cherry Hill, NJ
  • NPI 1558681676
  NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1841859840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GATES AVE STE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216296",
            "telephone_number": "917-805-0702",
            "fax_number": "973-965-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 ROUTE 9 S STE 1000",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281383",
            "telephone_number": "973-412-3400",
            "fax_number": "973-412-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL AT HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITADEL AT HOME LLC",
        "enumeration_date": "2019-06-12",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "SHAFIR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "917-805-0702",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ OFFICE OF THE ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS",
            "identifier": "HP0291400",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@citadelhomecare.com",
            "affiliation": "N",
            "address_1": "4400 Route 9 S Ste 1000",
            "city": "Freehold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077281383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Citadel Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristine Cigna, PHARMD, RPH
• Maria F. Ciminelli, M.D.
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• Nicole Ciresi, SLP
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• In Home Supportive Care Agency in Freehold, NJ
• Providers in Freehold, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.