1. Home
  2. Directory
  3. New York
  4. Greenport
  5. Skilled Nursing Facility
  6. NPI Profile

PECONIC LANDING AT SOUTHOLD INC
NPI 1033110770
Skilled Nursing Facility in Greenport, NY

Active since August 03, 2005CLIA 33D2194592 · Waiver
5/5
Overall Rating
1500 BRECKNOCK RD, GREENPORT, NY 11944(631) 477-3800(631) 477-3900 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Peconic Landing At Southold Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PECONIC LANDING AT SOUTHOLD INC (NPI 1033110770) is a healthcare organization registered as a skilled nursing facility in Greenport, New York and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Lisa Barbara Quinn, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033110770
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePECONIC LANDING AT SOUTHOLD INC
Location Address1500 BRECKNOCK RDGreenport, NY 11944-3117
Mailing Address1500 Brecknock RdGreenport, NY 11944-3117 · (631) 477-3800 · Fax (631) 477-3900
Phone(631) 477-3800
Fax(631) 477-3900
Organization SubpartNo
Authorized OfficialLisa Barbara QuinnCfo · (631) 477-3800
Enumeration DateAugust 3, 2005
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1033110770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1500 BRECKNOCK RD, Greenport, NY 11944
Open in Google Maps ↗

Other Identifiers 1

Medicaid02410795NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2194592

Peconic Landing At Southold Inc · Greenport, NY
Active · expires Mar 26, 2027
CLIA Number33D2194592
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 1, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Nathaniel Desire
Laboratory Phone(631) 477-4217
Laboratory LocationPeconic Landing At Southold Inc1500 Brecknock Rd, Greenport, NY 11944
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Peconic Landing At Southold (CMS certification number 335842), from CMS Care Compare.

Peconic Landing At Southold

Nursing home · Greenport, NY
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number335842
Certified Beds66 beds51 residents per day on average
Medicare & Medicaid Participant SinceMarch 24, 2003
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
8
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.71 · LPN 0.88 · RN 1.18
4.76 hrs per resident per day
Weekend Nurse Staffing
4.28 hrs per resident per day
Physical Therapist Staffing
0.25 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
47.8%
Registered Nurse Turnover
57.9%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Infection-Control Citations
1
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER JACOB REISS PHD
Psychologist (Clinical)
1500 BRECKNOCK RD
GREENPORT, NY 11944
Suffolk County (212) 517-7755
KATHRYN ANN PARK OTR/L
Occupational Therapist
1500 BRECKNOCK RD
GREENPORT, NY 11944
Suffolk County (631) 477-3800
DR. CLAUDIA COLABELLA PT, DPT
Physical Therapist
1500 BRECKNOCK RD
GREENPORT, NY 11944
Suffolk County (631) 477-4217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peconic Landing At Southold Inc's NPI number?

The NPI number for Peconic Landing At Southold Inc is 1033110770. It was assigned to this organization in the NPPES registry on August 3, 2005.

Where is Peconic Landing At Southold Inc located?

Peconic Landing At Southold Inc is located at 1500 Brecknock Rd, Greenport, NY 11944. The listed phone number is (631) 477-3800.

What is Peconic Landing At Southold Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Peconic Landing At Southold Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2194592) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Peconic Landing At Southold Inc a Medicare-certified nursing home?

Yes. Peconic Landing At Southold is a Medicare-certified nursing home with 66 certified beds.

What quality rating does Peconic Landing At Southold Inc have?

CMS rates Peconic Landing At Southold 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Peconic Landing At Southold Inc was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.