NPIMap

Organization Active NPI

Promise Care of Essex County LLC

  • Home Health Agency
  • East Orange, NJ
National Provider Identifier
1962983379
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROMISE CARE OF ESSEX COUNTY LLC
Practice address
576 Central Ave Ste 304
East Orange, NJ 07018-1943
Phone
(973) 378-1000
NPI assigned
Aug 23, 2018
Organization subpart
Yes
Parent organization
PROMISE CARE HOLDINGS II LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Moshe Rosenberg
Title
Owner
Phone
(973) 378-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X

Addresses

Primary practice location

576 Central Ave Ste 304
East Orange, NJ 07018-1943

Mailing address

576 Central Ave Ste 304
East Orange, NJ 07018-1943
Phone (973) 678-5500

Other names 1

  • Promise Care NJ Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230615003528 NJ Part A Provider - Home Health Agency 1951651033 Practice locations: East Orange, NJ

Home health agency certification: CCN 317009

Legal name
PROMISE CARE OF ESSEX COUNTY LLC
Doing business as
PROMISE CARE NJ
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Aug 3, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 4, 2017 in NJ
Enrollment address
576 Central Ave
Ste 304
East Orange, NJ 07018-1943
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Promise Care NJCCN 317009
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0930795Promise Care of Essex County576 Central Avenue, East Orange, NJ 07018Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Locations

576 Central Ave
Ste 304
East Orange, NJ 07018
Phone (973) 378-1000

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Benjamin Mandel Individual Corporate OfficerCfo Apr 1, 2023
Corporate DirectorCfo Apr 1, 2023
Moshe Rosenberg Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 50%
Corporate DirectorCeo Apr 1, 2023
Tamar Jaskiel Individual Corporate Director Apr 1, 2023
W-2 Managing Employee Apr 1, 2023
Promise Care Holding II Organization, East Orange, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Apr 1, 2023 100%
Shalom Stein Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 50%

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2023 Change of OwnershipThis provider was the buyer Promise Care NJCCN 317009, NJ, NPI 1629435433

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 21

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1962983379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 CENTRAL AVE STE 304",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181943",
            "telephone_number": "973-678-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 CENTRAL AVE STE 304",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181943",
            "telephone_number": "973-378-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE CARE OF ESSEX COUNTY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMISE CARE HOLDINGS II LLC",
        "enumeration_date": "2018-08-23",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-378-1000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promise Care NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.