| NPI | 1386631547 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-10-04 |
| Last Updated | 2024-09-26 |
| Authorized Official | Ralph Rosso CFO Phone: 6314478800 |
| Mailing Address | 801 Gazzola Dr East Patchogue, NY 11772-4900 United States Phone: (631) 447-8800 | Fax: (631) 447-8830 📍 View Map |
| Primary Practice Address | 801 Gazzola Dr East Patchogue, NY 11772-4900 United States Phone: (631) 447-8800 | Fax: (631) 447-8830 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 01083421 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 314000000X – Skilled Nursing Facility | NY | 5123304N |
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About NPI 1386631547
Brookhaven Health Care Facility Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1386631547. The primary specialty listed is Skilled Nursing Facility. The organization is located in East Patchogue, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1386631547?
NPI 1386631547 belongs to Brookhaven Health Care Facility Llc, a Skilled Nursing Facility in East Patchogue, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1386631547 active?
The current status of NPI 1386631547 in the NPPES registry is Active. The record was last updated on 2024-09-26.
What specialty is NPI 1386631547?
NPI 1386631547 is classified under the taxonomy Skilled Nursing Facility. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1386631547?
You can verify NPI 1386631547 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1386631547?
The primary practice address on file for NPI 1386631547 is 801 Gazzola Dr, East Patchogue, NY 11772-4900. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1386631547 issued?
NPI 1386631547 was first issued (enumerated) on 2005-10-04. The NPPES record was last updated on 2024-09-26.
Practice Location Map
Brookhaven Health Care Facility Llc is located at 801 Gazzola Dr, East Patchogue, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Brookhaven Health Care Facility Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1386631547. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Skilled Nursing Facility | 5123304N | NY |