2ND Home Elizabeth LLC
Nursing Facility/Intermediate Care Facility in Elizabeth, New Jersey
1336283027- Practice location
- 432 N Broad St, Elizabeth, NJ 07208-3365
- Phone
- 908-436-0018
- Fax
- 973-278-4773
- Last updated
- August 22, 2020
2ND Home Elizabeth LLC is a healthcare organization based in Elizabeth, NJ. 2ND Home Elizabeth LLC practices in Elizabeth, NJ. The NPI Number for 2ND Home Elizabeth LLC is 1336283027 and holds a License No. 908111 (NJ). The current practice location address for 2ND Home Elizabeth LLC is 432 N Broad St, Elizabeth, NJ 07208-3365 and can be reached out via phone at 908-436-0018 and via fax at 973-278-4773.
Provider Profile Details
- NPI Number
- 1336283027
- Provider Name
- 2ND Home Elizabeth LLC
- Provider Entity Type
- Organization
- Address
- 432 N Broad St, Elizabeth, NJ 07208-3365
- Phone Number
- 908-436-0018
- Fax Number
- 973-278-4773
- Primary Taxonomy
- Nursing Facility/Intermediate Care Facility · 313M00000X
- Organization Subpart
- No
- Authorized Official
- David 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
- 432 N Broad St
Elizabeth, NJ 07208-3365 - City
- Elizabeth
- State
- New Jersey
- Zip
- 07208-3365
- Phone Number
- 908-436-0018
- Fax Number
- 973-278-4773
Provider Business Mailing Address Details
- Address
- 100 Hamilton Plz
3RD Floor
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
- 908111
- 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 2ND Home Elizabeth LLC?
The NPI number of 2ND Home Elizabeth LLC is 1336283027. It was assigned on February 16, 2007 and is currently active in the NPPES registry.
What is the specialty of 2ND Home Elizabeth LLC?
2ND Home Elizabeth LLC is registered under the primary taxonomy Nursing Facility/Intermediate Care Facility (code 313M00000X), licensed in NJ under license number 908111.
Where does 2ND Home Elizabeth LLC practice?
The practice location is 432 N Broad St, Elizabeth, NJ 07208-3365. The office can be reached at 908-436-0018 (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 1336283027 directly on the NPPES registry website.