Active NPI
Family Senior Health LLC
- Adult Day Care Clinic/Center
- Jersey City, NJ
National Provider Identifier
1942335807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 408331
- Legal business name
- FAMILY SENIOR HEALTH LLC
- Practice address
- 675 Garfield Ave
First Floor
Jersey City, NJ 07305 - Phone
- (201) 761-0280
- Fax
- (201) 761-0290
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Luisa U. Santana, BS, CALA, ADC
- Title
- Administrator
- Phone
- (201) 761-0280
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 408331 | NJ | Primary |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 408331 | NJ |
Addresses
Primary practice location
675 Garfield Ave
First Floor
Jersey City, NJ 07305
Mailing address
675 Garfield Ave
Jersey City, NJ 07305
Phone (201) 761-0280
Other names 1
- DBA Senior Spirit of Jersey City
National Provider Directory
National Provider Directory- Tax ID family
- Dba Senior Spirit of Jersey City
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Jersey City, NJ
- NPI 1699386193
Locations
675 Garfield Ave
Ste 1
Jersey City, NJ 07305
Phone (201) 761-0280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596672000000",
"number": "1942335807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 GARFIELD AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07305",
"telephone_number": "201-761-0280",
"fax_number": "201-761-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 GARFIELD AVE",
"address_2": "FIRST FLOOR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07305",
"telephone_number": "201-761-0280",
"fax_number": "201-761-0290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY SENIOR HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A",
"authorized_official_last_name": "SANTANA",
"authorized_official_first_name": "LUISA",
"authorized_official_middle_name": "U.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "201-761-0280",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BS, CALA, ADC"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NJ",
"license": "408331",
"primary": true
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NJ",
"license": "408331",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DBA Senior Spirit of Jersey City",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.