11 History Lane Operating Company, LLC
NPI 1932108693ActiveOrganization· Skilled Nursing Facility· Jackson, NJ
Skilled Nursing Facility in Jackson, New Jersey, registered in NPPES in July 2005. The authorized official on file is A. Alberto Lugo, Executive Vp & General Counsel.
Overview
| NPI | 1932108693 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2005 |
| Last updated in NPPES | Aug 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | NJ |
| Respite Care | 385H00000X | 0088447 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Skilled Nursing Facility providers in Jackson
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