2Nd Home Elizabeth Llc

LBN: 2Nd Home Elizabeth Llc
2Nd Home Elizabeth Llc is an health care organization with primary practice located at 432 N Broad St , Elizabeth NJ 07208-3365. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. 2Nd Home Elizabeth Llc can be contacted via phone (908) 436-0018, or through Myers, David via phone (973) 278-7065.

Contact Information

Primary practice address
432 N Broad St Elizabeth NJ 07208-3365
Phone: (908) 436-0018
Fax: (973) 278-4773
Website:
Map and Directions
Authorized official contact:
Name: Myers, David Doctor of Medicine (MD)
Phone: (973) 278-7065

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 908111 New Jersey

Profile Details

NPI number 1336283027
LBN Legal business name 2Nd Home Elizabeth Llc
DBA Doing business as
Authorized official Myers, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336283027 NPPES
New Jersey MEDICAID 7667027

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