ENCHANTED IMPRESSIONS NPI 1063207892

NPI Information

  • NPI: 1063207892
  • Provider Name: ENCHANTED IMPRESSIONS
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Address: 440 DIETZ ST
    ROSELLE, NJ
    ZIP 07203
  • Phone: (973) 634-0236

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NPI Details

ENCHANTED IMPRESSIONS is a hospice care community based in Roselle, NJ. ENCHANTED IMPRESSIONS NPI is 1063207892. The provider is registered as an organization entity type.

The provider's business location address is:

440 DIETZ ST
ROSELLE, NJ
ZIP 07203-328
Phone: (973) 634-0236

The provider's authorized official is Tyana Danielle Whiting .
The authorized official title is Administrative Director and has the following contact phone number (973) 634-0236.

The enumeration date for this NPI number is 4/11/2025 and was last updated on 4/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedYes
2253Z00000XIn Home Supportive CareNo
3347C00000XPrivate VehicleNo
4385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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