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

PRIVATE SELF CARE PROVIDER
NPI 1609128487
Skilled Nursing Facility - Nursing Care, Pediatric in Valley Stream, NY

Active since October 04, 2012
53 5TH ST, VALLEY STREAM, NY 11581(347) 267-2991 Get Directions Write a Review

NPPES record last updated: October 4, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Private Self Care Provider NPPES

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

PRIVATE SELF CARE PROVIDER (NPI 1609128487) is a healthcare organization registered as a nursing care, pediatric in Valley Stream, New York and active in the NPI registry since October 2012. The organization lists Jenny P Telfort, Rn, as its authorized official.

NPPES Registry Identity

NPI1609128487
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NamePRIVATE SELF CARE PROVIDER
Location Address53 5TH STValley Stream, NY 11581-1210
Mailing Address53 5th StValley Stream, NY 11581-1210
Phone(347) 267-2991
Organization SubpartNo
Authorized OfficialJenny P TelfortRn · (347) 267-2991
Enumeration DateOctober 4, 2012
✔ NPI 1609128487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
53 5TH ST, Valley Stream, NY 11581
Open in Google Maps ↗

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 Private Self Care Provider's NPI number?

The NPI number for Private Self Care Provider is 1609128487. It was assigned to this organization in the NPPES registry on October 4, 2012.

Where is Private Self Care Provider located?

Private Self Care Provider is located at 53 5th St, Valley Stream, NY 11581. The listed phone number is (347) 267-2991.

What is Private Self Care Provider's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Private Self Care Provider was last updated on October 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.