WOODHAVEN NURSING HOME
NPI 1568459279
Skilled Nursing Facility in Port Jefferson Station, NY
About Woodhaven Nursing Home NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOODHAVEN NURSING HOME (NPI 1568459279) is a healthcare organization registered as a skilled nursing facility in Port Jefferson Station, New York and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kenneth Gaul, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
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 33D2214670
Woodhaven Nursing Home · Port Jefferson Station, NYOther Providers at the Same Location NPPES 5
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 Jbg Holding Company LLC's NPI number?
The NPI number for Jbg Holding Company LLC is 1568459279. It was assigned to this organization in the NPPES registry on September 29, 2005. The provider is doing business as Woodhaven Nursing Home.
Where is Jbg Holding Company LLC located?
Jbg Holding Company LLC is located at 1360 Route 112, Port Jefferson Station, NY 11776. The listed phone number is (631) 473-7100.
What is Jbg Holding Company LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Jbg Holding Company LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2214670) 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 Jbg Holding Company LLC was last updated on February 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.