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PENN MEDICINE HOMEHEALTH PRINCETON HEALTH
NPI 1760524052
Home Health in Princeton, NJ

Active since February 13, 2007CLIA 31D2003315 · Waiver
105 COLLEGE RD E FL 2, PRINCETON, NJ 08540(609) 497-4900(609) 497-4933 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2023, Jul 21, 2022, Aug 6, 2021 (3 updates tracked since 2021).

About Penn Medicine Homehealth Princeton Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENN MEDICINE HOMEHEALTH PRINCETON HEALTH (NPI 1760524052) is a healthcare organization registered as a home health in Princeton, New Jersey and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Guillherme Simoes Valladares, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1760524052
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION
Location Address105 COLLEGE RD E FL 2Princeton, NJ 08540-6622
Mailing Address105 College Rd E Fl 2Princeton, NJ 08540-6622 · (609) 497-4900 · Fax (609) 497-4933
Phone(609) 497-4900
Fax(609) 497-4933
Organization SubpartYes
Authorized OfficialGuillherme Simoes ValladaresChief Financial Officer · (609) 853-7112
Enumeration DateFebruary 13, 2007
Last NPPES UpdateApril 13, 20233 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1760524052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
105 COLLEGE RD E FL 2, Princeton, NJ 08540
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Other Names 1

Doing Business AsPenn Medicine Homehealth Princeton Health

Other Identifiers 2

Medicaid4145801NJ
Other5905086NJ · Aetna Home Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2003315

Penn Medicine Home Health Princeton Health · Princeton, NJ
Active · expires Feb 4, 2028
CLIA Number31D2003315
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorSandra Jost
Laboratory Phone(609) 497-4900
Laboratory LocationPenn Medicine Home Health Princeton Health105 College Road East 2nd Floor, Princeton, NJ 08540
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION
Hospice Care, Community Based
105 COLLEGE RD E FL 2
PRINCETON, NJ 08540
Mercer County (609) 497-4900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Princeton Healthcare System, A New Jersey Non-Profit Corporation's NPI number?

The NPI number for Princeton Healthcare System, A New Jersey Non-Profit Corporation is 1760524052. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Penn Medicine Homehealth Princeton Health.

Where is Princeton Healthcare System, A New Jersey Non-Profit Corporation located?

Princeton Healthcare System, A New Jersey Non-Profit Corporation is located at 105 College Rd E Fl 2, Princeton, NJ 08540. The listed phone number is (609) 497-4900.

What is Princeton Healthcare System, A New Jersey Non-Profit Corporation's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Princeton Healthcare System, A New Jersey Non-Profit Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2003315) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Princeton Healthcare System, A New Jersey Non-Profit Corporation was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.