11 History Lane Operating Company, LLC
NPI 1073170072 · Assisted Living Facility · Jackson, NJ
11 History Lane Operating Company, LLC is a Assisted Living Facility organization in Jackson, NJ (NPI 1073170072).
Provider details
- NPI number
- 1073170072
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Androvsky Lugo, General Counsel/Executive Vice Pres(201) 242-4006
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
7 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
Other names (DBA / former)
- Doing business as
- Care One at Jackson Assisted Living
Registry dates
- Enumerated
- 2019-05-24
- Last updated
- 2019-05-24
Frequently asked questions
- What is 11 History Lane Operating Company, LLC's NPI number?
- 11 History Lane Operating Company, LLC's National Provider Identifier (NPI) is 1073170072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 11 History Lane Operating Company, LLC?
- 11 History Lane Operating Company, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is 11 History Lane Operating Company, LLC located?
- 11 History Lane Operating Company, LLC's practice location on file with NPPES is 11 History Lane, Jackson, NJ 08527.
- What is 11 History Lane Operating Company, LLC's phone number?
- The practice phone number listed in the NPPES registry for 11 History Lane Operating Company, LLC is (732) 367-6600.
- Who is the authorized official for 11 History Lane Operating Company, LLC?
- The authorized official listed on 11 History Lane Operating Company, LLC's NPPES record is Androvsky Lugo, General Counsel/Executive Vice Pres. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 11 History Lane Operating Company, LLC's NPI active?
- Yes — 11 History Lane Operating Company, LLC's NPI (1073170072) is active in the NPPES registry as of the last update on 2019-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.