ESSEX MEDICAL DAY CARE LLC NPI 1215072657

NPI Information

NPI: 1215072657
Provider Name: ESSEX MEDICAL DAY CARE LLC
Classification: Clinic/Center - 261QA0600X
Specialization: Adult Day Care
Entity Type: Organization
Other Name: HOME AWAY FROM HOME
Address: 263 HILLSIDE AVE
NUTLEY, NJ
ZIP 07110
Phone: (973) 662-9191

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NPI Details

ESSEX MEDICAL DAY CARE LLC is an adult day care clinic center in Nutley, NJ. ESSEX MEDICAL DAY CARE LLC NPI is 1215072657. The provider is registered as an organization entity type.
The provider Other Name Is Home Away From Home.

The provider's business location address is:

263 HILLSIDE AVE
NUTLEY, NJ
ZIP 07110-180
Phone: (973) 662-9191
Fax: (973) 662-1112

The provider's authorized official is Alex Rubin .
The authorized official title is President and has the following contact phone number (973) 662-9191.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	308120	NEW JERSEY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0078271	MEDICAID	NEW 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: 3/30/2025

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