OUR HOME ADULT DAY CARE, LLC – NPI #1568986131
Clinic/Center

OUR HOME ADULT DAY CARE, LLC is an AHC clinic located in ENGLEWOOD, NJ. NPPES has assigned the NPI number 1568986131 to OUR HOME ADULT DAY CARE, LLC on July 26, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 6 years ago on Jan 03, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OUR HOME ADULT DAY CARE, LLC below.

NPI Profile for
OUR HOME ADULT DAY CARE, LLC

NPI Number
1568986131
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OUR HOME ADULT DAY CARE, LLC
Primary location
475 GRAND AVE
ENGLEWOOD, NJ 07631
Phone: (201) 541-1111 Fax: (201) 541-0777
1 Other location(s):
535 Grand Ave Fl 2
Englewood, NJ 07631-4934
Phone: (201) 541-1111
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHEE KIM
PRESIDENT
Phone: (201) 541-1111
Updated
Certification Date
Jan 03, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.