Immaculate Essential Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IMMACULATE ESSENTIAL CARE, LLC

Practice address

4 Haddonfield Rd Ste 204
Cherry Hill, NJ 08002-1467

Phone

(856) 524-3140

Fax

(855) 674-1833

NPI assigned

Dec 29, 2022

Organization subpart

No

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

Authorized official

Name

Frederick Polley

Title

Managing Partner

Phone

(856) 524-3140

Specialties & licenses 2

Addresses

Tax ID family

Immaculate Essential Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Immaculate Essential Care, LLC

  • In Home Supportive Care Agency
  • Cherry Hill, NJ
  • NPI 1447935242
  NPD tax ID

Locations

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1982317467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HADDONFIELD RD STE 204",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021467",
            "telephone_number": "856-524-3140",
            "fax_number": "855-674-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HADDONFIELD RD STE 204",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021467",
            "telephone_number": "856-524-3140",
            "fax_number": "855-674-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE ESSENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "POLLEY",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "856-524-3140"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda J Ihlenfeld, MSW, LSW
• Imee Irene a. Ikalina-Paras, PT
• Marla Ikalina, MSW
• Nikki Ilustre, PT
• Immaculate Essential Care, LLC
• Immaculate Home Health Care, LLC
• Impactful Care
• Impactful Care Professional Services LLC
• Impactful Caregiving LLC
• Independence Rehab Services PC

• Community Based Hospice Care Agency in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Community Based Hospice Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.