Bergen Home Care and Nursing Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0022500 Issued in NJ

Legal business name

BERGEN HOME CARE AND NURSING INC

Practice address

136 Essex Street
Hackensack, NJ 07601

Phone

(201) 342-3402

Fax

(201) 342-3405

NPI assigned

Oct 11, 2007

Last updated

Nov 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Prosper K Bonuedie, RN.,BSN

Title

President

Phone

(201) 342-3402

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1902094220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 ESSEX STREET",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-342-3402",
            "fax_number": "201-342-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 ESSEX STREET",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-342-3402",
            "fax_number": "201-342-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN HOME CARE AND NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "BONUEDIE",
        "authorized_official_first_name": "PROSPER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-342-3402",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN.,BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0022500",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NJ",
            "license": "HP0022500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149772",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.