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11 History Lane Operating Company, Llc
Respite Care in Jackson, New Jersey
NPI 1932108693

11 History Lane Operating Company, Llc is a Respite Care based in Jackson, NJ. 11 History Lane Operating Company, Llc practices in Jackson, NJ. The NPI Number for 11 History Lane Operating Company, Llc is 1932108693 and holds a License No. (New Jersey).

The current practice location address for 11 History Lane Operating Company, Llc is 11 History Lane, Jackson, NJ and can be reached out via phone at 732-367-6600 and via fax at 732-905-9641. You can also correspond with 11 History Lane Operating Company, Llc through the mailing address at 11 HISTORY LANE, JACKSON, NJ - 08527 (mailing address contact number: 732-367-6600).

Location: 11 History Lane, Jackson, NJ, 08527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932108693
Provider Name
11 History Lane Operating Company, Llc
Credential
Provider Entity Type
Organization
Address
11 History Lane, Jackson, NJ, 08527
Phone Number
732-367-6600
Fax Number
732-905-9641
Provider Enumeration Date
07/15/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0059994 05 NJ
institution
Provider Business Practice Location Address Details
Address
11 History Lane
City
Jackson
State
New Jersey
Zip
08527
Phone Number
732-367-6600
Fax Number
732-905-9641
person
Provider Business Mailing Address Details
Address
11 History Lane
City
Jackson
State
New Jersey
Zip
08527
Phone Number
732-367-6600
Fax Number
732-905-9641
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0088447 (New Jersey)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
(New Jersey)
Definition
Definition to come.
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