Second Home Perth Amboy LLC
NPI 1063627545 · Adult Care Home Facility · Perth Amboy, NJ
Second Home Perth Amboy LLC is a Adult Care Home Facility organization in Perth Amboy, NJ (NPI 1063627545).
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
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
Mailing address
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2020-08-22
Frequently asked questions
- What is Second Home Perth Amboy LLC's NPI number?
- Second Home Perth Amboy LLC's National Provider Identifier (NPI) is 1063627545, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Second Home Perth Amboy LLC?
- Second Home Perth Amboy LLC is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Second Home Perth Amboy LLC located?
- Second Home Perth Amboy LLC's practice location on file with NPPES is 420 Fayette St, Perth Amboy, NJ 08861-3835.
- What is Second Home Perth Amboy LLC's phone number?
- The practice phone number listed in the NPPES registry for Second Home Perth Amboy LLC is (732) 826-8012.
- Who is the authorized official for Second Home Perth Amboy LLC?
- The authorized official listed on Second Home Perth Amboy LLC's NPPES record is Debroah Minassian, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Second Home Perth Amboy LLC's NPI active?
- Yes — Second Home Perth Amboy LLC's NPI (1063627545) is active in the NPPES registry as of the last update on 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.