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

NPI Status: Active since February 16, 2007

Contact Information

100 HAMILTON PLZ
PATERSON, NJ
ZIP 07505
Phone: (973) 278-7065
Fax: (973) 278-4773

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About SECOND HOME, LLC

This page provides the complete NPI Profile along with additional information for Second Home, Llc, a provider established in Paterson, New Jersey operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1235273905 assigned on February 2007. The practitioner's primary taxonomy code is 313M00000X with license number 708112 (NJ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is David M Myers Md (Medical Director)

NPI
1235273905
Provider Name
SECOND HOME, LLC
Entity Type
Organization
Location Address
100 HAMILTON PLZ PATERSON, NJ 07505
Location Phone
(973) 278-7065
Location Fax
(973) 278-4773
Mailing Address
100 HAMILTON PLZ PATERSON, NJ 07505
Mailing Phone
(973) 278-7065
Mailing Fax
(973) 278-4773
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
708112
License State
NJ
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID M MYERS MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(973) 278-7065

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7667001MEDICAID (05)NJ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235273905
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226547690
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 4 + 7 + 6 + 9 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1235273905 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245297100DR. STEVEN H DANE M.D.
Individual
Psychiatry & Neurology (Neurology)100 HAMILTON PLZ STE. 317
PATERSON, NJ 07505
(973) 878-7065
1689790339SALL MYERS ASSOCIATES, PA
Organization
Clinic/Center (Multi-Specialty)100 HAMILTON PLZ 3RD FLOOR
PATERSON, NJ 07505
(973) 279-2323
1417103698 RONALDO A LIM PT
Individual
Physical Therapist100 HAMILTON PLZ 3RD FLR
PATERSON, NJ 07505
(973) 279-2323
1467608224 SUDHA MALHOTRA PT
Individual
Physical Therapist100 HAMILTON PLZ 3RD FLR
PATERSON, NJ 07505
(973) 279-2323
1871749630 RICHARD BENJAMIN S. MANAHAN PT
Individual
Physical Therapist100 HAMILTON PLZ 3RD FLR
PATERSON, NJ 07505
(973) 279-2323
1013163872 CHRISTIAN P VERZOSA PT
Individual
Physical Therapist100 HAMILTON PLZ 3RD FLR
PATERSON, NJ 07505
(973) 279-2323
1619114741PAUL F FULFORD PHD PA
Organization
Psychologist (Clinical)100 HAMILTON PLZ SUITE 1411
PATERSON, NJ 07505
(973) 278-1203
13666814052ND HOME PATERSON OPERATIONS, LLC
Organization
Clinic/Center (Adult Day Care)100 HAMILTON PLZ GROUND FLOOR
PATERSON, NJ 07505
(973) 395-0555
1184681173DR. VIJAYKUMAR A KULKARNI M.D.
Individual
Surgery100 HAMILTON PLZ
PATERSON, NJ 07505
(973) 279-2323
1043673858HOWE AVENUE REHABILITATION LLC
Organization
Chiropractor (Rehabilitation)100 HAMILTON PLZ STE 501
PATERSON, NJ 07505
(973) 278-7000
1265990279WOMEN AND FAMILIES ASCENDING ASSOCIATION
Organization
Community/Behavioral Health100 HAMILTON PLZ
PATERSON, NJ 07505
(973) 766-2406
1982645610DR. PAUL MISTHOS M.D.
Individual
Internal Medicine100 HAMILTON PLZ THIRD FLOOR
PATERSON, NJ 07505
(973) 278-6254

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235273905, enumerated in the NPI registry as an "organization" on February 16, 2007

The provider is located at 100 Hamilton Plz Paterson, Nj 07505 and the phone number is (973) 278-7065

This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.