Care One At Jackson

LBN: 11 History Lane Operating Company, Llc
Care One At Jackson is an health care organization with primary practice located at 11 History Lane , Jackson NJ 08527. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. 11 History Lane Operating Company, Llc can be contacted via phone (732) 367-6600, or through Lugo, A. Alberto via phone (201) 242-4000.

Contact Information

Primary practice address
11 History Lane Jackson NJ 08527
Phone: (732) 367-6600
Fax: (732) 905-9641
Website:
Map and Directions
Authorized official contact:
Name: Lugo, A. Alberto
Phone: (201) 242-4000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X New Jersey
Respite Care Facility / Respite Care 385H00000X 0088447 New Jersey

Profile Details

NPI number 1932108693
LBN Legal business name 11 History Lane Operating Company, Llc
DBA Doing business as Care One At Jackson
Authorized official Lugo, A. Alberto
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated Aug 13th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932108693 NPPES
New Jersey MEDICAID 0059994

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