LONG ISLAND STATE VETERANS HOME
NPI 1780825851
Skilled Nursing Facility in Stony Brook, NY

Q: What is the provider's specialty?

The provider's specialty is Skilled Nursing Facility with taxonomy code 314000000X.

Active since March 18, 2009CLIA 33D0867059 · Microscopy

100 PATRIOTS RD, STONY BROOK, NY 11790(631) 444-8500(631) 444-8575 Get Directions Write a Review

NPPES record last updated: April 2, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
Other Providers Same Location
Frequently Asked Questions

Organization
Skilled Nursing Facility
CLIA Number: 33D0867059
CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
CLIA Exp. Date: 03-26-2027

About LONG ISLAND STATE VETERANS HOME

This page provides the complete NPI Profile along with additional information for Long Island State Veterans Home, a provider established in Stony Brook, New York operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1780825851 assigned on March 2009. The practitioner's primary taxonomy code is 314000000X with license number 5151310N (NY). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Long Island State Veterans Home. The authorized official of this NPI record is Mr. Fred Sganga (Executive Director)

NPI: 1780825851 Verify this NPI
Provider Legal Name: LONG ISLAND STATE VETERANS HOME SUNY AT STONY BROOK
Other Organization Name: LONG ISLAND STATE VETERANS HOME
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 100 PATRIOTS RD STONY BROOK, NY 11790
Location Phone: (631) 444-8500
Location Fax: (631) 444-8575
Mailing Address: 100 PATRIOTS RD STONY BROOK, NY 11790
Mailing Phone: (631) 444-8500
Mailing Fax: (631) 444-8575
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-18-2009
Last Update Date: 04-02-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Skilled Nursing Facility
Taxonomy Code: 314000000X
Type: Nursing & Custodial Care Facilities
License No.: 5151310N
License State: NY
Taxonomy Description: (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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. FRED SGANGA
Authorized Official Title: EXECUTIVE DIRECTOR
Authorized Official Phone: (631) 444-8500

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 33D0867059
Facility Type: Skilled Nursing Facility/Nursing Facility
Certificate Effective Date: July 10, 2000
Certificate Expiration Date: March 26, 2027
Laboratory Director: DR. ANSHU SINGH
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Long Island State Veterans Home in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.