Second Home Perth Amboy Llc in Paterson - Adult Care Home
Second Home Perth Amboy Llc - NPI 1063627545
Second Home Perth Amboy Llc is a Adult Care Home in Paterson, New Jersey. Second Home Perth Amboy Llc practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Second Home Perth Amboy Llc is 1063627545. The last update date is 2020-08-22.
Second Home Perth Amboy Llc's current location address is 100 Hamilton Plz, Paterson, New Jersey. You can contact this provider via phone number 9732792323 and fax number 9732786284. The mailing address for Second Home Perth Amboy Llc is 100 Hamilton Plz, Paterson, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Second Home Perth Amboy Llc |
|---|---|
| Address | 100 Hamilton Plz, Paterson, New Jersey |
| Phone Number | 9732792323 |
| Fax Number | 9732786284 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Minassian Debroah |
| Telephone Number | 9732792323 |
NPI Number Detail
| NPI Number | 1063627545 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 100 Hamilton Plz |
|---|---|
| City | Paterson |
| State | New Jersey (NJ) |
| Post Code | 75052109 |
| Phone Number | 9732792323 |
| Fax Number | 9732786284 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | Z0SFLR |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7667043 | NJ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Second Home Perth Amboy Llc?
The Second Home Perth Amboy Llc has been issued the NPI (National Provider Identifier) 1063627545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Second Home Perth Amboy Llc located?
The Second Home Perth Amboy Llc is located at 100 Hamilton Plz, Paterson, NJ 75052109.
What is the Second Home Perth Amboy Llc's area of specialization and corresponding taxonomy classification?
The Second Home Perth Amboy Llc's specialty field is Adult Care Home, and it falls under the taxonomy code 311Za0620X, which categorizes healthcare providers based on their specialties.
When was the Second Home Perth Amboy Llc's 1063627545 issued?
The Second Home Perth Amboy Llc's 1063627545 was issued on 2007-05-10.
When was the Second Home Perth Amboy Llc's information last updated?
The Second Home Perth Amboy Llc's information was last updated on 2020-08-22.