Second Home, LLC

Nursing Facility/Intermediate Care Facility · Paterson, NJ

Organization Active NPI

NPI number 1235273905

Practice location

100 Hamilton PLZ
Paterson, NJ 07505-2109
Phone
(973) 278-7065
Fax
(973) 278-4773

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NPI record

NPI
1235273905
Entity type
Organization (Type 2)
Enumeration date
February 16, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nursing Facility/Intermediate Care Facility Primary 313M00000X 708112 NJ

Authorized official

Name
David M Myers, MD
Title
Medical Director
Phone
(973) 278-7065

About Second Home, LLC

Second Home, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Nursing Facility/Intermediate Care Facility (code 313M00000X). The practice location is 100 Hamilton PLZ, Paterson, NJ 07505-2109. The NPI number 1235273905 was assigned on February 16, 2007 and the record was last updated on August 22, 2020.

Second Home, LLC lists a license in the registry: #708112 (NJ) for Nursing Facility/Intermediate Care Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is David M Myers, MD, Medical Director.

Frequently asked questions

What is the NPI number of Second Home, LLC?

The NPI number is 1235273905.

What is the phone number of Second Home, LLC?

The phone number listed for the practice location is (973) 278-7065.

Where is Second Home, LLC located?

100 Hamilton PLZ, Paterson, NJ 07505-2109.

What is the taxonomy code for Second Home, LLC?

The primary taxonomy code is 313M00000X – Nursing Facility/Intermediate Care Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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