OrganizationActive
Second Home Perth Amboy LLC
NPI 1063627545 · Adult Care Home Facility · Perth Amboy, NJ
Provider details
- NPI number
- 1063627545
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Debroah Minassian, President(973) 279-2323
- License
- Z0SFLR (NJ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
420 Fayette St
Perth Amboy, NJ 08861-3835
Phone: (732) 826-8012
Fax: (732) 826-1961
Street-level locationGet directions
Mailing address
100 Hamilton Plz
Paterson, NJ 07505-2109
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.