OrganizationActive
Second Home, LLC
NPI 1235273905 · Nursing Facility/Intermediate Care Facility · Paterson, NJ
Provider details
- NPI number
- 1235273905
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Myers, Medical Director(973) 278-7065
- License
- 708112 (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
100 Hamilton Plz
Paterson, NJ 07505-2109
Phone: (973) 278-7065
Fax: (973) 278-4773
Street-level locationGet directions
Mailing address
100 Hamilton Plz
Paterson, NJ 07505-2109
Registry dates
- Enumerated
- 2007-02-16
- 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.