Second Home, Llc in Paterson - Nursing Facility/intermediate Care Facility
Second Home, Llc - NPI 1235273905
Second Home, Llc is a Nursing Facility/intermediate Care Facility in Paterson, New Jersey. Second Home, Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Second Home, Llc is 1235273905. The last update date is 2020-08-22.
Second Home, Llc's current location address is 100 Hamilton Plz, Paterson, New Jersey. You can contact this provider via phone number 9732787065 and fax number 9732784773. The mailing address for Second Home, Llc is 100 Hamilton Plz, Paterson, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Second Home, Llc |
---|---|
Address | 100 Hamilton Plz, Paterson, New Jersey |
Phone Number | 9732787065 |
Fax Number | 9732784773 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
---|---|
Authorized Official Name | Myers M David |
Credentials | MD |
Telephone Number | 9732787065 |
NPI Number Detail
NPI Number | 1235273905 |
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Provider Enumeration Date | 2007-02-16 |
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 | 9732787065 |
Fax Number | 9732784773 |
Provider's Primary Taxonomy Detail
Speciality | Nursing Facility/intermediate Care Facility |
---|---|
Taxonomy | 313M00000X |
Licence No | 708112 |
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7667001 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Second Home, Llc by the Centers for Medicare & Medicaid Services?
The Second Home, Llc has been issued the NPI (National Provider Identifier) 1235273905, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Second Home, Llc's facilities are situated?
The facilities of Second Home, Llc are physically located at the following address: 100 Hamilton Plz, Paterson, NJ, 75052109.
What is Second Home, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Second Home, Llc is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy classification code for this specialized field is 313M00000X.
On what date did the Second Home, Llc receive the assignment of its 1235273905 from the Centers for Medicare & Medicaid Services?
The Second Home, Llc was issued its 1235273905 by the Centers for Medicare & Medicaid Services on 2007-02-16.
When was the information regarding Second Home, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Second Home, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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