Second Home, LLC

Second Home, LLC is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in Paterson, NJ, holding Type 2 (organization) NPI 1235273905 since 2007. The authorized official on file is David Myers, Medical Director.

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NPI	1235273905
Entity type	Organization (Type 2)
Legal business name	Second Home, LLC
Practice address	100 HAMILTON PLZ, Paterson, NJ, 07505
Phone	9732787065
Fax	9732784773
Enumeration date	2007-02-16
Last updated in NPPES	2020-08-22

Authorized official

Name	David Myers
Title	Medical Director
Phone	9732787065

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
313M00000X	Nursing Facility/Intermediate Care Facility	Primary	708112	NJ

Other identifiers

Identifier	Type	State	Issuer
7667001	Medicaid	NJ	—

Copy-ready billing details

Provider: Second Home, LLC
NPI: 1235273905
Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility)
Address: 100 HAMILTON PLZ, Paterson, NJ, 07505

Providers at this address

NPI	Name	Type	Specialty	Location
1184681173	Vijaykumar Kulkarni	Individual	Surgery Physician	Paterson, NJ
1982645610	Paul Misthos	Individual	Internal Medicine Physician	Paterson, NJ
1689790339	Sall Myers Associates, PA	Organization	Multi-Specialty Clinic/Center	Paterson, NJ

Verify this record

Cross-check NPI 1235273905 against the authoritative CMS record: view Second Home, LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Second Home, LLC located?

The practice location on file with NPPES is in Paterson, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2020-08-22.