Immaculate Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IMMACULATE HOME HEALTH CARE, LLC

Practice address

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

Phone

(856) 524-3140

Fax

(855) 674-1833

NPI assigned

Nov 11, 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

Coo

Phone

(856) 524-3140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1992413504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 CHAPEL AVE W APT 1S",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023911"
        },
        {
            "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 HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "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": "COO",
        "authorized_official_telephone_number": "856-524-3140"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marla Ikalina, MSW
• Nikki Ilustre, PT
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• Impactful Care
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• Independence Rehab Services PC
• Indigo Therapy and Wellness

• Home Health Agency in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Home Health 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.