Glen Haven Residential Healthcare Fac. Inc in Port Jefferson - Skilled Nursing Facility
Glen Haven Residential Healthcare Fac. Inc - NPI 1396742938
Glen Haven Residential Healthcare Fac. Inc is a Skilled Nursing Facility in Port Jefferson, New York. Glen Haven Residential Healthcare Fac. Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Glen Haven Residential Healthcare Fac. Inc is 1396742938. The last update date is 2015-07-09.
Glen Haven Residential Healthcare Fac. Inc's current location address is 150 Dark Hollow Rd, Port Jefferson, New York. You can contact this provider via phone number 6314735400 and fax number 6314745362. The mailing address for Glen Haven Residential Healthcare Fac. Inc is 150 Dark Hollow Rd, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glen Haven Residential Healthcare Fac. Inc |
|---|---|
| Address | 150 Dark Hollow Rd, Port Jefferson, New York |
| Phone Number | 6314735400 |
| Fax Number | 6314745362 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Ahuja Sanjay |
| Telephone Number | 6314735400 |
NPI Number Detail
| NPI Number | 1396742938 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2015-07-09 |
Provider Mailing Address Detail
| Address | 150 Dark Hollow Rd |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 117772048 |
| Phone Number | 6314735400 |
| Fax Number | 6314745362 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 5149303N |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1004640 | NY | -- |
Post Comment/ Review Below
What is the Glen Haven Residential Healthcare Fac. Inc's unique identification number?
The Glen Haven Residential Healthcare Fac. Inc has been assigned the NPI (National Provider Identifier) Number 1396742938 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Glen Haven Residential Healthcare Fac. Inc's facilities are geographically located?
The facilities of Glen Haven Residential Healthcare Fac. Inc are physically situated at the following location: 150 Dark Hollow Rd, Port Jefferson, NY, 117772048.
What is Glen Haven Residential Healthcare Fac. Inc's area of expertise and its corresponding taxonomy classification?
The Glen Haven Residential Healthcare Fac. Inc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did Glen Haven Residential Healthcare Fac. Inc receive its 1396742938 assignment from the Centers for Medicare & Medicaid Services?
The Glen Haven Residential Healthcare Fac. Inc was assigned its 1396742938 on 2005-06-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Glen Haven Residential Healthcare Fac. Inc most recently updated or revised?
The details related to Glen Haven Residential Healthcare Fac. Inc, including its address, specialty, and other relevant information, were last updated or revised on 2015-07-09.
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