NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

11 History Lane Operating Company, LLC

Skilled Nursing Facility in Jackson, NJ · enumerated 2005 · authorized official A. Lugo, Executive Vp & General Counsel.

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

National Provider Identifier

1932108693

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name 11 History Lane Operating Company, LLC
Other name <Unavail>
Practice address 11 History Lane, Jackson, NJ, 08527
Phone (732) 367-6600
Fax (732) 905-9641
Enumeration date Jul 15, 2005
Last updated in NPPES Aug 13, 2015

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary
385H00000X Respite Care Respite Care Facility · License 0088447 (NJ) Secondary

Authorized official

Name A. Lugo
Title Executive Vp & General Counsel
Phone (201) 242-4000

Other identifiers

Identifier Type State Issuer
0059994 Medicaid NJ -

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 → Validate an NPI →

Frequently asked questions

Who is the authorized official for 11 History Lane Operating Company, LLC?
NPPES lists A. Lugo (Executive Vp & General Counsel) as the authorized official for this organization.
What is the NPI number for 11 History Lane Operating Company, LLC?
The NPI for 11 History Lane Operating Company, LLC is 1932108693, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-13.