CANAAN HOMEHEALTH CARE (NPI# 1164088415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164088415 |
| Entity Type | Organization |
| Organization Name | CANAAN HOMEHEALTH CARE |
| Practice Address |
17 Danielle Ct Jackson NJ 08527-2929 |
| Practice Telephone | 9734897525 |
| Mailing Telephone | 9734897525 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | OKEY EMENUGA (CO-OWNER) |
| Authorized Official Telephone | 9734897525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Residential Homes For IDD | Doing Business As Name - Organization |
| Street Address |
17 DANIELLE CT |
| City | JACKSON |
| State | NJ |
| Zip Code | 08527-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923959 | Patricia Ann Benjamino | Technician | 8 Poplar Street, Jackson, NJ 08527 | 2019-10-09 |
| 1811456890 | Step By Step Behavioral Therapy, LLC | Behavioral Analyst | 18 Walter Drive, Jackson, NJ 08527 | 2019-03-18 |
| 1326520255 | Sarah Chalnick | Physical Therapist | 2290 W County Line Road Suite 215, Jackson, NJ 08527 | 2018-09-06 |
| 1679071401 | Louro Chiropractic Center LLC | Chiropractor | 180 North County Line Road, Jackson, NJ 08527 | 2018-01-26 |
| 1487183737 | Arkady Khaykin | Dentist | 24 N Cooks Bridge Rd, Jackson, NJ 08527 | 2017-06-09 |
| 1912362815 | Executive Home Healthcare | Home Health | 17 N Hope Chapel Rd, Jackson, NJ 08527 | 2015-12-18 |
| 1629455274 | Rachel Solny | Speech-Language Pathologist | 70 Villanova Dr, Jackson, NJ 08527 | 2015-05-04 |
| 1235525486 | Encore Dental of Jackson | Dentist | 2275 West County Line Rd., Jackson, NJ 08527 | 2015-04-14 |
| 1093108243 | Joseph Davis | Dentist | 2064 W County Line Rd, Jackson, NJ 08527 | 2015-03-12 |
| 1477955037 | Jackson Village Pharmacy LLC | Pharmacy | 27 South Cooks Bridge Rd, Suite M1, Jackson, NJ 08527 | 2014-09-25 |
| Find all providers in zip 08527 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407067 | Mjp Management LLC | In Home Supportive Care | 1 Comtronics Pl, Jackson, MI 49203-7500 | 2020-11-05 |
| 1639776750 | Hope Supportive LLC. | In Home Supportive Care | 6295 Old Canton Rd Apt 19d, Jackson, MS 39211-2934 | 2020-10-01 |
| 1548890858 | Davis Healthcare Facility | In Home Supportive Care | 419 S State St Ste B100-4, Jackson, MS 39201-5005 | 2020-01-26 |
| 1104456979 | Carefree Living At Home LLC | In Home Supportive Care | 460 Briarwood Dr Ste 400-1010, Jackson, MS 39206-3051 | 2020-01-21 |
| 1356801393 | Victor M Pickett | In Home Supportive Care | 227 Kilmaine Ct, Jackson, MS 39209-3651 | 2019-03-25 |
| 1902360571 | Resilience Home Care Services LLC | In Home Supportive Care | 5135 Galaxie Dr Ste E, Jackson, MS 39206-4300 | 2019-01-28 |
| 1689151789 | Sanedra Pegues | In Home Supportive Care | 4754 Dubarry Ln, Jackson, MS 39209-4929 | 2018-07-23 |
| 1548768708 | Shore Homecare Services LLC | In Home Supportive Care | 25 N County Line Rd Ste 18, Jackson, NJ 08527-1270 | 2018-01-23 |
| 1487161519 | The Journey of Knowledge | In Home Supportive Care | 2460 Terry Rd Ste 400, Jackson, MS 39204-5777 | 2018-01-10 |
| 1528579554 | Melissa Meshawn Ross | In Home Supportive Care | 4535 Office Park Dr, Jackson, MS 39206-6017 | 2017-10-17 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.