CITADEL HOME CARE LLC (NPI# 1477048197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477048197 |
| Entity Type | Organization |
| Organization Name | CITADEL HOME CARE LLC |
| Other Organization Name | WATER STREET CAPITAL |
| Practice Address |
60 Colonial Ter East Orange NJ 07017-2123 |
| Mailing Address |
589 Mlk Blvd Newark NJ 07102-1215 |
| Practice Telephone | 8005894161 |
| Mailing Telephone | 8628812331 |
| Mailing Fax Number | 8005405946 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | MR. JACQUES MAGLOIRE JR. (DIRECTOR) |
| Authorized Official Telephone | 8628812331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| WATER STREET CAPITAL | Other Name - Individual/Organization |
| Street Address |
60 COLONIAL TER |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07017-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255993101 | Yvonne Jansen-pearce | Licensed Practical Nurse | 212 N Mum Ave., East Orange, NJ 07017 | 2019-07-01 |
| 1356821508 | Kinfolk Advanced Illness Nurse Practitioners | Nurse Practitioner | 16 Eastwood St, East Orange, NJ 07017 | 2018-08-17 |
| 1619490992 | Holy Hands Enterprises L.l.c | Home Health | 7 Glenwood Ave., Suite 419-b, 4th Floor., East Orange, NJ 07017 | 2017-07-19 |
| 1760902688 | Kenneth Amoah Gyan | Nurse Practitioner | 28a Melmore Gardens, East Orange, NJ 07017 | 2017-06-21 |
| 1487002192 | Robert William Reilly | Student in an Organized Health Care Education/Training Program | 344 Prospect Street, East Orange, NJ 07017 | 2016-06-03 |
| 1497114474 | Alicja U Pietrzak | Behavioral Analyst | 60 Evergreen Pl., 3rd Floor Suite 309, East Orange, NJ 07017 | 2016-02-18 |
| 1396147658 | Angela Gordon | Licensed Practical Nurse | 12 Lawton Street, East Orange, NJ 07017 | 2014-09-18 |
| 1063716488 | Yonas T Mehari | Specialist | 251 Hoffman Blvd, East Orange, NJ 07017 | 2010-12-28 |
| 1275833857 | Urban Healthcare Initiative Program Inc | Clinic/Center | 613 Park Avenue, East Orange, NJ 07017 | 2010-10-28 |
| 1881813285 | Trans America Care | Non-emergency Medical Transport (VAN) | 55 Washington Street, Suite# 308, East Orange, NJ 07017 | 2007-04-24 |
| Find all providers in zip 07017 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134284771 | Windsor Gardens Adult Day Care | Custodial Care Facility | 140 Park Ave, East Orange, NJ 07017-5248 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138432 | Donya Chamberlain | Custodial Care Facility | 25 Westerly Dr, Sicklerville, NJ 08081-3031 | 2020-09-14 |
| 1912518903 | Helen Oyinlade Jarvis | Custodial Care Facility | 115 Willett Ave Apt 19, South River, NJ 08882-2164 | 2020-08-12 |
| 1154957454 | Olubunmi Comfort Akangbe | Custodial Care Facility | 2 Glenwood Dr, Lindenwold, NJ 08021-6793 | 2020-03-18 |
| 1679107833 | Senior Comfort LLC | Custodial Care Facility | 3 Paragon Way Ste 150, Freehold, NJ 07728-9581 | 2020-02-26 |
| 1528532447 | All America Medical Day Care | Custodial Care Facility | 141 Coit St, Irvington, NJ 07111 | 2019-01-14 |
| 1700300761 | The Heart Caring LLC | Custodial Care Facility | 153 Sandra Way, Franklinville, NJ 08322-2693 | 2017-08-01 |
| 1023544491 | Bancroft Neurohealth | Custodial Care Facility | 9 Penn Road, Voorhees, NJ 08043 | 2017-05-04 |
| 1770016628 | Mercer Adult Day Care LLC | Custodial Care Facility | 1132 Morning Glory Dr, Monroe Township, NJ 08831-5350 | 2017-04-07 |
| 1962944306 | Dedicated Home Care Services | Custodial Care Facility | 14 Debaun Ave, West Caldwell, NJ 07006-7111 | 2016-11-16 |
| 1467804153 | Chiquitta A Kamara | Custodial Care Facility | 16 Stockton Rd, New Brunswick, NJ 08901-1631 | 2016-07-06 |
| Find all providers with the same taxonomy | ||||
| City | EAST ORANGE |
| Zip Code | 07017 |
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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.