NEW HAVEN MANOR HOME FOR ADULTS, LLC
NPI 1346840121
Custodial Care Facility - Adult Care Home in Far Rockaway, NY
About New Haven Manor Home For Adults, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW HAVEN MANOR HOME FOR ADULTS, LLC (NPI 1346840121), doing business as New Haven Manor, is a healthcare organization registered as an adult care home in Far Rockaway, New York and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jennifer Grajales, Project Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 33D2196651
New Haven Manor Home For Adults · Far Rockaway, NYOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 New Haven Manor Home For Adults, LLC's NPI number?
The NPI number for New Haven Manor Home For Adults, LLC is 1346840121. It was assigned to this organization in the NPPES registry on October 29, 2020. The provider is doing business as New Haven Manor.
Where is New Haven Manor Home For Adults, LLC located?
New Haven Manor Home For Adults, LLC is located at 1526 New Haven Ave, Far Rockaway, NY 11691. The listed phone number is (718) 471-7200.
What is New Haven Manor Home For Adults, LLC's specialty?
The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.
Does New Haven Manor Home For Adults, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2196651) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for New Haven Manor Home For Adults, LLC was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# New Haven Manor Home For Adults, Llc · NPI 1346840121
Adult Care Home organization in Far Rockaway, New York. Organization record, active in the CMS NPPES registry since October 29, 2020.
## Identity
- **NPI:** 1346840121 (Entity type: Organization)
- **Enumerated:** October 29, 2020
- **Primary specialty:** Custodial Care Facility - Adult Care Home · taxonomy 311ZA0620X
- **Also known as:** New Haven Manor (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jennifer Grajales, PROJECT MANAGER
## Practice location
- **Address:** 1526 NEW HAVEN AVE, Far Rockaway, NY 11691-5148
- **Phone:** (718) 471-7200
## Record status
- **NPPES last updated:** October 29, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346840121) · Data from the CMS NPPES public registry.