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HHS OCR report · 2018

Union Lake Supermarket, LLC data breach

Union Lake Supermarket, LLC, a healthcare provider in New Jersey, reported a breach affecting 9,956 individuals to HHS OCR on Feb 28, 2018.

OCR report facts

Covered entity
Union Lake Supermarket, LLC
Entity type
Healthcare Provider
Individuals affected
9,956
Submission date
Feb 28, 2018
Type of breach
Improper Disposal
Location of breached information
Other Portable Electronic Device
Business associate present
No
Status
Archive (closed)

OCR description

The covered entity (CE), Union Lake Supermarket, LLC, reported that a portable electronic device used to capture customer signatures was improperly disposed of. This compromised the electronic protected health information (ePHI) of 9,956 individuals. The ePHI involved included names, dates of birth, drivers’ license numbers, medications prescribed, and other treatment information. The CE notified HHS, affected individuals, and the media. In its mitigation efforts, the CE implemented addit...

Text as published on the HHS OCR breach portal.

Frequently asked questions

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Source: HHS OCR Breach Portal, OCR export October 2026. Network USA is not affiliated with HHS or Union Lake Supermarket, LLC.