AUTHENTIC HOME HEALTH SERVICES INC


Address: 176 Mallory Ave, Jersey City, NJ 07304-1218
Phone: 2012000935

AUTHENTIC HOME HEALTH SERVICES INC (NPI# 1972821122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972821122
Entity Type Organization
Organization Name AUTHENTIC HOME HEALTH SERVICES INC
Other Organization Name CARE CENTRAL
Practice Address 176 Mallory Ave
Jersey City
NJ 07304-1218
Practice Telephone 2012000935
Practice Fax Number 2012000935
Mailing Telephone 2012000935
Mailing Fax Number 2012000935
Enumeration Date 2010-05-12
Last Update Date 2010-05-12
Authorized Official Name MR. MARIO B BRIZUELA (ADMINISTRATIVE DIRECTOR)
Authorized Official Telephone 2012000935
Authorized Official Credential M.B.A
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253Z00000X In Home Supportive Care 0101006690 NJ Agencies

Other Provider/Organization Names

Other Name Type Code
Care Central Doing Business As Name - Organization

Office Location

Street Address 176 MALLORY AVE
City JERSEY CITY
State NJ
Zip Code 07304-1218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326366568 Abba Home Health Care Inc. Home Health 176 Mallory Ave, Jersey City, NJ 07304-1218 2010-05-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790324085 Marlon Q Lopez Physical Therapist 438 West Avenue, Virginia Cor Ege, Jersey, NJ 07304 2020-01-03
1033621842 Dipty Mali Physical Therapist 520 Bergen Avenue, Jersey City, NJ 07304 2017-11-02
1861914434 Eulalia Rivera Licensed Practical Nurse 140 Boyd Ave, Jersey City, NJ 07304 2017-07-14
1336509223 Hyojin Park Student in an Organized Health Care Education/Training Program 935 Garfield Avenue, Metropolitan Family Health Network, Inc. - Jersey City, Jersey City, NJ 07304 2016-03-04
1962878413 Hudson Milestones Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 13-15 Miller Street, Jersey City, NJ 07304 2015-08-19
1336515881 Hudson Milestones Day Training, Developmentally Disabled Services 355 Clendenny Avenue, Jersey City, NJ 07304 2015-08-19
1922482025 Cosmo Pharmacy LLC Pharmacy 402 Pacific Avenue, Jersey City, NJ 07304 2015-07-17
1033513171 Walgreens Health Maintenance Organization 2395 John Kennedy Blvd, Jersey City, NJ 07304 2014-10-17
1427460138 Medical Claims Adjustment Pros Spec/Tech, Health Info 79 Jewett Avenue Ste 2, Jersey City, NJ 07304 2014-05-29
1801133103 Hoboken Holistic Physical Therapy and Sports Medicine LLC Acupuncturist 701 State Route 440 Suite 21, Jersey City, NJ 07304 2013-01-08
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306381918 K & K Home Care LLC In Home Supportive Care 216 Halladay St, Apt 4, Jersey City, NJ 07304-3300 2017-01-05
1326590944 Andrea Wilson In Home Supportive Care 298 Martin Luther King Jr Dr, Jersey City, NJ 07305-3515 2016-10-31
1700404316 Safire1 In Home Supportive Care 101 Lafayette St, Jersey City, NJ 07304-3725 2020-07-09
1154873776 Nj Community Framily Care LLC In Home Supportive Care 510 Ocean Ave, Jersey City, NJ 07305-3319 2016-10-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629679188 Long Island Senior Care LLC In Home Supportive Care 106 Elm St Apt 2, Orange, NJ 07050-4056 2020-11-02
1285234757 Inclusive Home Care LLC In Home Supportive Care 2 Spinnaker Dr, South Amboy, NJ 08879-3438 2020-10-26
1730788795 Mario Parker In Home Supportive Care 571 Park St, Montclair, NJ 07043-2027 2020-10-21
1588263693 Fk's&r LLC In Home Supportive Care 393 Sanford Ave, Hillside, NJ 07205-2724 2020-10-20
1104424654 Tnt Ventures, LLC In Home Supportive Care 15 Corporate Pl S Ste 405, Piscataway, NJ 08854-6113 2020-10-15
1578161634 Trontz Enterprises LLC In Home Supportive Care 86 River St, Hoboken, NJ 07030-5607 2020-10-12
1538776950 Sweet Influence Home Care Agency In Home Supportive Care 1626 Edmund Ter, Union, NJ 07083-4006 2020-09-29
1184231607 Wellcare Home Care LLC In Home Supportive Care 1281 Valley Rd # B, Wayne, NJ 07470-7980 2020-09-29
1720692932 Golden Heart Home Care LLC In Home Supportive Care 456 Pleasant Valley Way, West Orange, NJ 07052-2921 2020-09-04
1205440690 Lois Moskowitz In Home Supportive Care 9 Camelot Dr, East Brunswick, NJ 08816-3621 2020-09-02
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Competitor

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City JERSEY CITY
Zip Code 07304

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Dataset Information

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.

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