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Contact Information

2ND HOME ELIZABETH LLC
432 N BROAD ST
ELIZABETH, NJ07208-3365
 Phone: 908-436-0018
 Fax: 973-278-4773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for 2ND HOME ELIZABETH LLC

NPI # 1336283027
LBN Legal business name 2ND HOME ELIZABETH LLC
Authorized official DAVID MYERS - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NJ License # 908111
NJ Medicaid 7667027
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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