1. Home
  2. Directory
  3. New Jersey
  4. Jackson
  5. Assisted Living Facility
  6. NPI Profile

11 HISTORY LANE OPERATING COMPANY, LLC
NPI 1073170072
Assisted Living Facility in Jackson, NJ

Active since May 24, 2019
11 HISTORY LANE, JACKSON, NJ 08527(732) 367-6600(732) 905-9641 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 11 History Lane Operating Company, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

11 HISTORY LANE OPERATING COMPANY, LLC (NPI 1073170072), doing business as Care One At Jackson Assisted Living, is a healthcare organization registered as an assisted living facility in Jackson, New Jersey and active in the NPI registry since May 2019. The organization lists Androvsky Alberto Lugo, General Counsel/executive Vice Pres, as its authorized official.

NPPES Registry Identity

NPI1073170072
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name11 HISTORY LANE OPERATING COMPANY, LLC
Location Address11 HISTORY LANEJackson, NJ 08527
Mailing Address11 History LaneJackson, NJ 08527 · (732) 367-6600 · Fax (732) 905-9641
Phone(732) 367-6600
Fax(732) 905-9641
Organization SubpartNo
Authorized OfficialAndrovsky Alberto LugoGeneral Counsel/executive Vice Pres · (201) 242-4006
Enumeration DateMay 24, 2019
✔ NPI 1073170072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
11 HISTORY LANE, Jackson, NJ 08527
Open in Google Maps ↗

Other Names 1

Doing Business AsCare One At Jackson Assisted Living

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

11 HISTORY LANE OPERATING COMPANY, LLC
Skilled Nursing Facility
11 HISTORY LANE
JACKSON, NJ 08527
Ocean County (732) 367-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 11 History Lane Operating Company, LLC's NPI number?

The NPI number for 11 History Lane Operating Company, LLC is 1073170072. It was assigned to this organization in the NPPES registry on May 24, 2019. The provider is doing business as Care One at Jackson Assisted Living.

Where is 11 History Lane Operating Company, LLC located?

11 History Lane Operating Company, LLC is located at 11 History Lane, Jackson, NJ 08527. The listed phone number is (732) 367-6600.

What is 11 History Lane Operating Company, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for 11 History Lane Operating Company, LLC was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.