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2nd Home Elizabeth Llc
Nursing Facility/Intermediate Care Facility in Elizabeth, New Jersey
NPI 1336283027

2nd Home Elizabeth Llc is a Nursing Facility/Intermediate Care Facility based in Paterson, 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 (New Jersey).

The current practice location address for 2nd Home Elizabeth Llc is 432 N Broad St, Elizabeth, NJ and can be reached out via phone at 908-436-0018 and via fax at 973-278-4773.

Location: 432 N Broad St, Elizabeth, NJ, 07505-2109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336283027
Provider Name
2nd Home Elizabeth Llc
Credential
Provider Entity Type
Organization
Address
432 N Broad St, Elizabeth, NJ, 07505-2109
Phone Number
908-436-0018
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
7667027 05 NJ
institution
Provider Business Practice Location Address Details
Address
432 N Broad St
City
Elizabeth
State
New Jersey
Zip
07208-3365
Phone Number
908-436-0018
Fax Number
973-278-4773
person
Provider Business Mailing Address Details
Address
432 N Broad St
City
Elizabeth
State
New Jersey
Zip
07208-3365
Phone Number
908-436-0018
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.
908111 (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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