2ND Home Perth Amboy LLC
Nursing Facility/Intermediate Care Facility in Perth Amboy, New Jersey
1548304223- Practice location
- 420 Fayette St, Perth Amboy, NJ 08861-3835
- Phone
- 732-826-1961
- Fax
- 973-278-4773
- Last updated
- June 13, 2008
2ND Home Perth Amboy LLC is a healthcare organization based in Perth Amboy, NJ. 2ND Home Perth Amboy LLC practices in Perth Amboy, NJ. The NPI Number for 2ND Home Perth Amboy LLC is 1548304223 and holds a License No. Z0SFLR (NJ). The current practice location address for 2ND Home Perth Amboy LLC is 420 Fayette St, Perth Amboy, NJ 08861-3835 and can be reached out via phone at 732-826-1961 and via fax at 973-278-4773.
Provider Profile Details
- NPI Number
- 1548304223
- Provider Name
- 2ND Home Perth Amboy LLC
- Provider Entity Type
- Organization
- Address
- 420 Fayette St, Perth Amboy, NJ 08861-3835
- Phone Number
- 732-826-1961
- 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
- June 13, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 420 Fayette St
Perth Amboy, NJ 08861-3835 - City
- Perth Amboy
- State
- New Jersey
- Zip
- 08861-3835
- Phone Number
- 732-826-1961
- 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
- Z0SFLR
- 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 Perth Amboy LLC?
The NPI number of 2ND Home Perth Amboy LLC is 1548304223. It was assigned on February 16, 2007 and is currently active in the NPPES registry.
What is the specialty of 2ND Home Perth Amboy LLC?
2ND Home Perth Amboy LLC is registered under the primary taxonomy Nursing Facility/Intermediate Care Facility (code 313M00000X), licensed in NJ under license number Z0SFLR.
Where does 2ND Home Perth Amboy LLC practice?
The practice location is 420 Fayette St, Perth Amboy, NJ 08861-3835. The office can be reached at 732-826-1961 (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 1548304223 directly on the NPPES registry website.