MEDICARE: CARE TWO, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility		NJ

General Provider Information

NPI Number	:	1164601894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE TWO, LLC

Provider Business Mailing Address
First Line	:	76 PASSAIC AVE
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-5811
Country	:	US
Telephone Number	:	973-758-4100
Fax Number	:	973-758-4103

Provider Business Practice Location Address
First Line	:	76 PASSAIC AVE
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-5811
Country	:	US
Telephone Number	:	973-758-4100
Fax Number	:	973-758-4103

Authorized Official
Title or Position	:	EXECUTIVE VP & GENERAL COUNSEL
Name	:	MR. A. ALBERTO LUGO
Credential	:
Telephone Number	:	201-242-4000

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	08/19/2015

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