2Nd Home Passaic Llc

LBN: 2Nd Home Passaic Llc
2Nd Home Passaic Llc is an health care organization with primary practice located at 63 Grove St , Passaic NJ 07055-5001. 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 Passaic Llc can be contacted via phone (973) 278-7065, or through Myers, David M via phone (973) 278-7065.

Contact Information

Primary practice address
63 Grove St Passaic NJ 07055-5001
Phone: (973) 278-7065
Fax: (973) 278-4773
Website:
Map and Directions
Authorized official contact:
Name: Myers, David M Doctor of Medicine (MD)
Phone: (973) 278-7065

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 708116 New Jersey

Profile Details

NPI number 1740324425
LBN Legal business name 2Nd Home Passaic Llc
DBA Doing business as
Authorized official Myers, David M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Jun 13th, 2008 - about 17 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 1740324425 NPPES
New Jersey MEDICAID 0056421

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