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2ND HOME PASSAIC LLC
NPI 1740324425
Nursing Facility/Intermediate Care Facility in Passaic, NJ

Active since February 16, 2007
63 GROVE ST, PASSAIC, NJ 07055(973) 278-7065(973) 278-4773 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 2nd Home Passaic Llc NPPES

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

2ND HOME PASSAIC LLC (NPI 1740324425) is a healthcare organization registered as a nursing facility/intermediate care facility in Passaic, 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

NPI1740324425
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business Name2ND HOME PASSAIC LLC
Location Address63 GROVE STPassaic, NJ 07055-5001
Mailing Address100 Hamilton Plz, 3rd FloorPaterson, 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 UpdateJune 13, 2008
✔ NPI 1740324425 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 · 708116
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.
63 GROVE ST, Passaic, NJ 07055
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Other Identifiers 1

Medicaid0056421NJ

Other Providers at the Same Location NPPES 2

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

JUAN CAMILO VICTORIA
Speech-Language Pathologist
63 GROVE ST
PASSAIC, NJ 07055
Passaic County (908) 884-6740
2ND HOME PASSAIC OPERATIONS, LLC
Clinic/Center (Adult Day Care)
63 GROVE ST
PASSAIC, NJ 07055
Passaic County (973) 395-0555

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 2nd Home Passaic LLC's NPI number?

The NPI number for 2nd Home Passaic LLC is 1740324425. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is 2nd Home Passaic LLC located?

2nd Home Passaic LLC is located at 63 Grove St, Passaic, NJ 07055. The listed phone number is (973) 278-7065.

What is 2nd Home Passaic 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 2nd Home Passaic LLC was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.