Provider Demographics
NPI:1134516396
Name:CARE TWO, LLC
Entity Type:Organization
Organization Name:CARE TWO, LLC
Other - Org Name:CAREONE AT LIVINGSTON ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VP AND GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:ANDROSKY
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:201-242-4006
Mailing Address - Street 1:68 PASSAIC AVE
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4802
Mailing Address - Country:US
Mailing Address - Phone:973-758-9000
Mailing Address - Fax:
Practice Address - Street 1:68 PASSAIC AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4802
Practice Address - Country:US
Practice Address - Phone:973-758-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ07019310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility