THE SENTINEL OF PORT JERVIS
NPI 1831734367
Assisted Living Facility in Port Jervis, NY

Active since November 07, 2019CLIA 33D2170937 · Waiver
2247 GREENVILLE TPKE, PORT JERVIS, NY 12771(845) 697-0400 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Sentinel Of Port Jervis NPPES

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

THE SENTINEL OF PORT JERVIS (NPI 1831734367) is a healthcare organization registered as an assisted living facility in Port Jervis, New York and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Gregg Rosen, Coo, as its authorized official.

NPPES Registry Identity

NPI1831734367
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE SENTINEL OF PORT JERVIS
Location Address2247 GREENVILLE TPKEPort Jervis, NY 12771-3216
Mailing Address2247 Greenville TpkePort Jervis, NY 12771-3216
Organization SubpartNo
Authorized OfficialGregg RosenCoo · (845) 363-8168
Enumeration DateNovember 7, 2019
NPI 1831734367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2247 GREENVILLE TPKE, Port Jervis, NY 12771

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 33D2170937

The Sentinal Of Port Jervis · Port Jervis, NY
Active · expires Mar 26, 2027
CLIA Number33D2170937
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 22, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Shirley W. Nelson
Laboratory Phone(845) 697-0400
Laboratory LocationThe Sentinal Of Port Jervis2247 Greenville Turnpike, Port Jervis, NY 12771
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 The Sentinel Of Port Jervis's NPI number?

The NPI number for The Sentinel Of Port Jervis is 1831734367. It was assigned to this organization in the NPPES registry on November 7, 2019.

Where is The Sentinel Of Port Jervis located?

The Sentinel Of Port Jervis is located at 2247 Greenville Tpke, Port Jervis, NY 12771. The listed phone number is (845) 697-0400.

What is The Sentinel Of Port Jervis's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does The Sentinel Of Port Jervis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2170937) 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 The Sentinel Of Port Jervis was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.