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Second Home, Llc
Nursing Facility/Intermediate Care Facility in Paterson, New Jersey
NPI 1235273905

Second Home, Llc is a Nursing Facility/Intermediate Care Facility 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 (New Jersey).

The current practice location address for Second Home, Llc is 100 Hamilton Plz, Paterson, NJ and can be reached out via phone at 973-278-7065 and via fax at 973-278-4773.

Location: 100 Hamilton Plz, Paterson, NJ, 07505-2109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235273905
Provider Name
Second Home, Llc
Credential
Provider Entity Type
Organization
Address
100 Hamilton Plz, Paterson, NJ, 07505-2109
Phone Number
973-278-7065
Fax Number
973-278-4773
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7667001 05 NJ
institution
Provider Business Practice Location Address Details
Address
100 Hamilton Plz
City
Paterson
State
New Jersey
Zip
07505-2109
Phone Number
973-278-7065
Fax Number
973-278-4773
person
Provider Business Mailing Address Details
Address
100 Hamilton Plz
City
Paterson
State
New Jersey
Zip
07505-2109
Phone Number
973-278-7065
Fax Number
973-278-4773
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
708112 (New Jersey)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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