Prime Luxury Haven
Custodial Care Facility, Adult Care Home in Newark, New Jersey
1427737584- Practice location
- 18 2ND St, Newark, NJ 07107-4429
- Phone
- 718-925-7080
- Fax
- —
- Last updated
- July 17, 2023
Prime Luxury Haven is a healthcare organization based in Newark, NJ. Prime Luxury Haven practices in Newark, NJ. The NPI Number for Prime Luxury Haven is 1427737584. The current practice location address for Prime Luxury Haven is 18 2ND St, Newark, NJ 07107-4429 and can be reached out via phone at 718-925-7080.
Provider Profile Details
- NPI Number
- 1427737584
- Provider Name
- Prime Luxury Haven
- Provider Entity Type
- Organization
- Address
- 18 2ND St, Newark, NJ 07107-4429
- Phone Number
- 718-925-7080
- Primary Taxonomy
- Custodial Care Facility, Adult Care Home · 311ZA0620X
- Organization Subpart
- No
- Authorized Official
- Mr. Akin Obisesan · Director · 718-925-7080
- Other Names
- Prime Luxury Haven (Doing Business As)
- Provider Enumeration Date
- July 17, 2023
- Last Update Date
- July 17, 2023
- Certification Date
- July 16, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18 2ND St
Newark, NJ 07107-4429 - City
- Newark
- State
- New Jersey
- Zip
- 07107-4429
- Phone Number
- 718-925-7080
Provider Business Mailing Address Details
- Address
- 18 2ND St
Newark, NJ 07107-4429 - City
- Newark
- State
- NJ
- Zip
- 07107-4429
- Phone Number
- 718-925-7080
License Information
- Taxonomy (1)
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- Taxonomy (2)
- Residential Treatment Facility, Physical Disabilities · 320700000X
- Taxonomy (3)
- In Home Supportive Care · 253Z00000X
- Taxonomy (4)
- Clinic/Center, Adult Day Care · 261QA0600X
- Taxonomy (5)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (6)
- Assisted Living Facility · 310400000X
- Taxonomy (7)
- Assisted Living Facility, Assisted Living, Behavioral Disturbances · 3104A0630X
- Taxonomy (8)
- Custodial Care Facility · 311Z00000X
- Taxonomy (9)
- Custodial Care Facility, Adult Care Home · 311ZA0620X · 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 Prime Luxury Haven?
The NPI number of Prime Luxury Haven is 1427737584. It was assigned on July 17, 2023 and is currently active in the NPPES registry.
What is the specialty of Prime Luxury Haven?
Prime Luxury Haven is registered under the primary taxonomy Custodial Care Facility, Adult Care Home (code 311ZA0620X).
Where does Prime Luxury Haven practice?
The practice location is 18 2ND St, Newark, NJ 07107-4429. The office can be reached at 718-925-7080 (phone).
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 1427737584 directly on the NPPES registry website.