2ND Home Passaic LLC
Nursing Facility/Intermediate Care Facility in Passaic, New Jersey
1740324425- Practice location
- 63 Grove St, Passaic, NJ 07055-5001
- Phone
- 973-278-7065
- Fax
- 973-278-4773
- Last updated
- June 13, 2008
2ND Home Passaic LLC is a healthcare organization based in Passaic, NJ. 2ND Home Passaic LLC practices in Passaic, NJ. The NPI Number for 2ND Home Passaic LLC is 1740324425 and holds a License No. 708116 (NJ). The current practice location address for 2ND Home Passaic LLC is 63 Grove St, Passaic, NJ 07055-5001 and can be reached out via phone at 973-278-7065 and via fax at 973-278-4773.
Provider Profile Details
- NPI Number
- 1740324425
- Provider Name
- 2ND Home Passaic LLC
- Provider Entity Type
- Organization
- Address
- 63 Grove St, Passaic, NJ 07055-5001
- Phone Number
- 973-278-7065
- 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
- 63 Grove St
Passaic, NJ 07055-5001 - City
- Passaic
- State
- New Jersey
- Zip
- 07055-5001
- Phone Number
- 973-278-7065
- 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
- 708116
- 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. | |||
Other Nursing Facility/Intermediate Care Facility providers near Passaic, NJ
View all Nursing Facility/Intermediate Care Facility providers in Passaic →- Mrs. Tali E Friedman, LCSWSocial Worker, Clinical · NPI 1881926400
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- Sima Vossough-Teehan, MDInternal Medicine, Gastroenterology · NPI 1861415911
- Rosa Calderon ServicesInternal Medicine · NPI 1023341872
- Charles Kenny, LPCCounselor, Professional · NPI 1568360386
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Frequently Asked Questions
What is the NPI number of 2ND Home Passaic LLC?
The NPI number of 2ND Home Passaic LLC is 1740324425. It was assigned on February 16, 2007 and is currently active in the NPPES registry.
What is the specialty of 2ND Home Passaic LLC?
2ND Home Passaic LLC is registered under the primary taxonomy Nursing Facility/Intermediate Care Facility (code 313M00000X), licensed in NJ under license number 708116.
Where does 2ND Home Passaic LLC practice?
The practice location is 63 Grove St, Passaic, NJ 07055-5001. The office can be reached at 973-278-7065 (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 1740324425 directly on the NPPES registry website.