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11 History Lane Operating Company, LLC

Assisted Living Facility in Jackson, NJ · enumerated 2019 · authorized official Androvsky Lugo, General Counsel/Executive Vice Pres.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073170072

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Registry record

Entity type Organization (Type 2)
Legal business name 11 History Lane Operating Company, LLC
Practice address 11 History Lane, Jackson, NJ, 08527
Phone (732) 367-6600
Fax (732) 905-9641
Enumeration date May 24, 2019
Last updated in NPPES May 24, 2019

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Androvsky Lugo
Title General Counsel/Executive Vice Pres
Phone (201) 242-4006

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for 11 History Lane Operating Company, LLC?
The NPI for 11 History Lane Operating Company, LLC is 1073170072, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for 11 History Lane Operating Company, LLC?
NPPES lists Androvsky Lugo (General Counsel/Executive Vice Pres) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-05-24.