Organization Active NPI

Pro Home Care, Inc.

  • Home Health Agency
  • Brick, NJ
National Provider Identifier
1912170390
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0110900 Issued in NJ
Legal business name
PRO HOME CARE, INC.
Practice address
514 Brick Blvd
Brick, NJ 08723-6088
Phone
(732) 920-4663
Fax
(732) 262-2497
NPI assigned
Apr 8, 2008
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Joann Dale
Title
Administrator
Phone
(732) 920-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0110900 NJ Primary

Addresses

Primary practice location

514 Brick Blvd
Brick, NJ 08723-6088

Mailing address

514 Brick Blvd
Brick, NJ 08723-6088
Phone (732) 920-4663

National Provider Directory

National Provider Directory

Locations

514 Brick Blvd
Brick, NJ 08723
Phone (732) 920-4663

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1912170390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236088",
            "telephone_number": "732-920-4663",
            "fax_number": "732-262-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236088",
            "telephone_number": "732-920-4663",
            "fax_number": "732-262-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-920-4663"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0110900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.