Organization Active NPI

Dedicated Home Care Services

  • Adult Care Home Facility
  • West Caldwell, NJ
National Provider Identifier
1962944306
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HP0235200 Issued in NJ
Legal business name
DEDICATED HOME CARE SERVICES
Practice address
14 Debaun Ave
West Caldwell, NJ 07006-7111
Phone
(973) 876-4921
Fax
(973) 575-9273
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Mr. Robert Charles Piccirillo
Title
Owner
Phone
(973) 876-4921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HP0235200 NJ Primary

Addresses

Primary practice location

14 Debaun Ave
West Caldwell, NJ 07006-7111

Mailing address

14 Debaun Ave
West Caldwell, NJ 07006-7111
Phone (973) 876-4921

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1962944306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DEBAUN AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067111",
            "telephone_number": "973-876-4921",
            "fax_number": "973-575-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DEBAUN AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067111",
            "telephone_number": "973-876-4921",
            "fax_number": "973-575-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "PICCIRILLO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-876-4921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NJ",
            "license": "HP0235200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.