OrganizationActive
2nd Home Elizabeth LLC
NPI 1336283027 · Nursing Facility/Intermediate Care Facility · Elizabeth, NJ
Provider details
- NPI number
- 1336283027
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- David Myers, Medical Director
- License
- 908111 (NJ)
Practice location
432 N Broad St
Elizabeth, NJ 07208-3365
Phone: (908) 436-0018
Fax: (973) 278-4773
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.