Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

11 History Lane Operating Company, LLC

Organization Assisted Living Facility · NPI 1073170072

11 History Lane Operating Company, LLC is an Assisted Living Facility in Jackson, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11 History Ln
Jackson, NJ 08527
Phone: (732) 367-6600
Fax: (732) 905-9641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1073170072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Androvsky Lugo — General Counsel/Executive Vice Pres · (201) 242-4006
Other names Care One At Jackson Assisted Living
NPI enumeratedMay 24, 2019
Last updated in NPPESMay 24, 2019
Mailing address11 History Lane, Jackson, NJ 08527

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