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SECOND INNING1 ADULT DAY CARE CENTER NPI 1063681179


NPI Information

NPI: 1063681179
Provider Name: SECOND INNING1 ADULT DAY CARE CENTER
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
155 ALGONQUIN PKWY
WHIPPANY, NJ
ZIP 07981
Phone: (190) 832-9555
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SECOND INNING1 ADULT DAY CARE CENTER is an adult day care clinic center in Whippany, NJ. SECOND INNING1 ADULT DAY CARE CENTER NPI is 1063681179. The provider is registered as an organization entity type.

The provider's business location address is:

155 ALGONQUIN PKWY
WHIPPANY, NJ
ZIP 07981-601
Phone: (190) 832-9555
Fax: (173) 263-5209

The provider's authorized official is Jagat Mehta .
The authorized official title is Owner and has the following contact phone number (190) 832-9555.

The enumeration date for this NPI number is 2/22/2008 and was last updated on 4/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareIN PROCESSNEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1IN PROCESSMEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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