Second Home, LLC
Nursing Facility/Intermediate Care Facility in Paterson, New Jersey
1235273905- Practice location
- 100 Hamilton Plz, Paterson, NJ 07505-2109
- Phone
- 973-278-7065
- Fax
- 973-278-4773
- Last updated
- August 22, 2020
Second Home, LLC is a healthcare organization based in Paterson, NJ. Second Home, LLC practices in Paterson, NJ. The NPI Number for Second Home, LLC is 1235273905 and holds a License No. 708112 (NJ). The current practice location address for Second Home, LLC is 100 Hamilton Plz, Paterson, NJ 07505-2109 and can be reached out via phone at 973-278-7065 and via fax at 973-278-4773.
Provider Profile Details
- NPI Number
- 1235273905
- Provider Name
- Second Home, LLC
- Provider Entity Type
- Organization
- Address
- 100 Hamilton Plz, Paterson, NJ 07505-2109
- Phone Number
- 973-278-7065
- Fax Number
- 973-278-4773
- Primary Taxonomy
- Nursing Facility/Intermediate Care Facility · 313M00000X
- Organization Subpart
- No
- Authorized Official
- David M Myers, MD · Medical Director · 973-278-7065
- Provider Enumeration Date
- February 16, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Hamilton Plz
Paterson, NJ 07505-2109 - City
- Paterson
- State
- New Jersey
- Zip
- 07505-2109
- Phone Number
- 973-278-7065
- Fax Number
- 973-278-4773
Provider Business Mailing Address Details
- Address
- 100 Hamilton Plz
Paterson, NJ 07505-2109 - City
- Paterson
- State
- NJ
- Zip
- 07505-2109
- Phone Number
- 973-278-7065
- Fax Number
- 973-278-4773
License Information
- License Number
- 708112
- License State
- NJ
- Taxonomy
- Nursing Facility/Intermediate Care Facility · 313M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Second Home, LLC?
The NPI number of Second Home, LLC is 1235273905. It was assigned on February 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Second Home, LLC?
Second Home, LLC is registered under the primary taxonomy Nursing Facility/Intermediate Care Facility (code 313M00000X), licensed in NJ under license number 708112.
Where does Second Home, LLC practice?
The practice location is 100 Hamilton Plz, Paterson, NJ 07505-2109. The office can be reached at 973-278-7065 (phone) or 973-278-4773 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235273905 directly on the NPPES registry website.