Care Source LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HP0103900 Issued in NJ

Legal business name

CARE SOURCE LLC

Practice address

200 Federal St
Suite 208
Camden, NJ 08103-1061

Phone

(856) 552-1518

Fax

(267) 295-7943

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Samantha R Batdorf

Title

Billing Director

Phone

(856) 552-1518

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1972811032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1755",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080991755",
            "telephone_number": "856-552-1518",
            "fax_number": "267-295-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FEDERAL ST",
            "address_2": "SUITE 208",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031061",
            "telephone_number": "856-552-1518",
            "fax_number": "267-295-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE SOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "BATDORF",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "856-552-1518",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "HP0103900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Camden, NJ
• Providers in Camden, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.