OrganizationActive
2nd Home Passaic LLC
NPI 1740324425 · Nursing Facility/Intermediate Care Facility · Passaic, NJ
Provider details
- NPI number
- 1740324425
- 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
- 708116 (NJ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
63 Grove St
Passaic, NJ 07055-5001
Phone: (973) 278-7065
Fax: (973) 278-4773
Approximate (ZIP-level) locationGet directions
Mailing address
100 Hamilton Plz
Paterson, NJ 07505-2109
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2008-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.