2ND HOME NEWARK OPERATIONS LLC (NPI# 1841593050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841593050 |
Entity Type | Organization |
Organization Name | 2ND HOME NEWARK OPERATIONS LLC |
Practice Address |
727 Broadway Newark NJ 07104-3401 |
Mailing Address |
37 N Day St Orange NJ 07050-3608 |
Practice Telephone | 9172953617 |
Enumeration Date | 2010-12-09 |
Last Update Date | 2010-12-09 |
Authorized Official Name | MR. JOSH GREENBAUM (PRESIDENT) |
Authorized Official Telephone | 9172953617 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | 2ND HOME NEWARK OPERATIONS LLC | 717 Broadway Ste 727, Newark, NJ 07104-3401 |
Street Address |
727 BROADWAY |
City | NEWARK |
State | NJ |
Zip Code | 07104-3401 |
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1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
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Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
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1437536414 | Sinai Center for Rehabilitation | Clinic/Center | 65 Jay Street, Newark, NJ 07103 | 2015-04-29 |
1124422688 | America Society of Thermalism and Climatology | Clinic/Center | 180 S Orange Ave Apt 1405, Newark, NJ 07103-2766 | 2014-10-13 |
1962741611 | Meridian Adult Day Care LLC | Clinic/Center | 495 N 13th St, Newark, NJ 07107-1317 | 2013-01-31 |
1790081255 | Life At Saint Michael's Inc. | Clinic/Center | 155 Jefferson St, Newark, NJ 07105-1706 | 2011-02-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.