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SECOND HOME, LLC
NPI 1235273905
Nursing Facility/Intermediate Care Facility in Paterson, NJ

Active since February 16, 2007
100 HAMILTON PLZ, PATERSON, NJ 07505(973) 278-7065(973) 278-4773 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Second Home, Llc NPPES

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

SECOND HOME, LLC (NPI 1235273905) is a healthcare organization registered as a nursing facility/intermediate care facility in Paterson, New Jersey and active in the NPI registry since February 2007. The organization lists David M Myers, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1235273905
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameSECOND HOME, LLC
Location Address100 HAMILTON PLZPaterson, NJ 07505-2109
Mailing Address100 Hamilton PlzPaterson, NJ 07505-2109 · (973) 278-7065 · Fax (973) 278-4773
Phone(973) 278-7065
Fax(973) 278-4773
Organization SubpartNo
Authorized OfficialDavid M MyersMedical Director · (973) 278-7065
Enumeration DateFebruary 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235273905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in NJ · 708112
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
100 HAMILTON PLZ, Paterson, NJ 07505
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Other Identifiers 1

Medicaid7667001NJ

Other Providers at the Same Location NPPES 11

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

CHRISTIAN P VERZOSA PT
Physical Therapist
100 HAMILTON PLZ, 3RD FLR
PATERSON, NJ 07505
Passaic County (973) 279-2323
HOWE AVENUE REHABILITATION LLC
Chiropractor (Rehabilitation)
100 HAMILTON PLZ, STE 501
PATERSON, NJ 07505
Passaic County (973) 278-7000
DR. VIJAYKUMAR A KULKARNI M.D.
Surgery
100 HAMILTON PLZ
PATERSON, NJ 07505
Passaic County (973) 279-2323
WOMEN AND FAMILIES ASCENDING ASSOCIATION
Community/Behavioral Health
100 HAMILTON PLZ
PATERSON, NJ 07505
Passaic County (973) 766-2406
2ND HOME PATERSON OPERATIONS, LLC
Clinic/Center (Adult Day Care)
100 HAMILTON PLZ, GROUND FLOOR
PATERSON, NJ 07505
Passaic County (973) 395-0555
RONALDO A LIM PT
Physical Therapist
100 HAMILTON PLZ, 3RD FLR
PATERSON, NJ 07505
Passaic County (973) 279-2323
SUDHA MALHOTRA PT
Physical Therapist
100 HAMILTON PLZ, 3RD FLR
PATERSON, NJ 07505
Passaic County (973) 279-2323
PAUL F FULFORD PHD PA
Psychologist (Clinical)
100 HAMILTON PLZ, SUITE 1411
PATERSON, NJ 07505
Passaic County (973) 278-1203

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 Second Home, LLC's NPI number?

The NPI number for Second Home, LLC is 1235273905. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Second Home, LLC located?

Second Home, LLC is located at 100 Hamilton Plz, Paterson, NJ 07505. The listed phone number is (973) 278-7065.

What is Second Home, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Second Home, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.