Organization Active NPI

Supportive Care of New Jersey, LLC

  • Home Health Agency
  • Cherry Hill, NJ
National Provider Identifier
1891186979
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPPORTIVE CARE OF NEW JERSEY, LLC
Practice address
383 Kings Hwy N
Suite 213
Cherry Hill, NJ 08034-1014
Phone
(856) 482-6630
NPI assigned
Feb 11, 2015
Last updated
Feb 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Mr. Timothy Kartisek
Title
Member
Phone
(856) 482-6630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

383 Kings Hwy N
Suite 213
Cherry Hill, NJ 08034-1014

Mailing address

383 Kings Hwy N
Suite 213
Cherry Hill, NJ 08034-1014
Phone (856) 482-6630

National Provider Directory

National Provider Directory

Locations

383 Kings Hwy N
Ste 213
Cherry Hill, NJ 08034
Phone (856) 482-6630

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1891186979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 KINGS HWY N",
            "address_2": "SUITE 213",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341014",
            "telephone_number": "856-482-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 KINGS HWY N",
            "address_2": "SUITE 213",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341014",
            "telephone_number": "856-482-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE CARE OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "KARTISEK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "856-482-6630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.