PRIME LUXURY HAVEN NPI 1427737584

NPI Information

NPI: 1427737584
Provider Name: PRIME LUXURY HAVEN
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
18 2ND ST
NEWARK, NJ
ZIP 07107
Phone: (718) 925-7080
Get Directions

PRIME LUXURY HAVEN is an adult care home custodial care facility in Newark, NJ. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. PRIME LUXURY HAVEN NPI is 1427737584. The provider is registered as an organization entity type.

The provider's business location address is:

18 2ND ST
NEWARK, NJ
ZIP 07107-429
Phone: (718) 925-7080

The provider's authorized official is Akin Obisesan .
The authorized official title is Director and has the following contact phone number (718) 925-7080.

The enumeration date for this NPI number is 7/17/2023 and was last updated on 7/17/2023.

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	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
2	320700000X	Residential Treatment Facility, Physical Disabilities		No
3	253Z00000X	In Home Supportive Care		No
4	261QA0600X	Clinic/Center	Adult Day Care	No
5	261QM0850X	Clinic/Center	Adult Mental Health	No
6	310400000X	Assisted Living Facility		No
7	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
8	311Z00000X	Custodial Care Facility		No
9	311ZA0620X	Custodial Care Facility	Adult Care Home	Yes

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: 5/5/2024

NPI Synchronization or Removal

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