Organization Active NPI

Idam Home Care Services

  • Home Health Agency
  • Hamilton, NJ
National Provider Identifier
1902946304
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0022100 Issued in NJ
Legal business name
IDAM HOME CARE SERVICES
Practice address
2572 S Broad St
Hamilton, NJ 08610-4018
Phone
(609) 888-4844
Fax
(609) 888-3443
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Mr. Ian Griffiths
Title
Director
Phone
(609) 888-4844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0022100 NJ Primary

Addresses

Primary practice location

2572 S Broad St
Hamilton, NJ 08610-4018

Mailing address

2572 S Broad St
Hamilton, NJ 08610-4018
Phone (609) 888-4844

Other identifiers 1

IdentifierTypeStateIssuer
0048747MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1902946304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2572 S BROAD ST",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086104018",
            "telephone_number": "609-888-4844",
            "fax_number": "609-888-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 S BROAD ST",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086104018",
            "telephone_number": "609-888-4844",
            "fax_number": "609-888-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAM HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-888-4844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0022100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048747",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.