Jefferson'S Ferry

LBN: Active Retirement Community, Inc.
Jefferson'S Ferry is an health care organization with primary practice located at 500 Mather Dr , South Setauket NY 11720-4701. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Active Retirement Community, Inc. can be contacted via phone (631) 650-2700, or through Brannen, Karen via phone (631) 650-2610.

Contact Information

Primary practice address
500 Mather Dr South Setauket NY 11720-4701
Fax:
Website:
Authorized official contact:
Name: Brannen, Karen

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 5151317N New York

Profile Details

NPI number 1932107927
LBN Legal business name Active Retirement Community, Inc.
DBA Doing business as Jefferson'S Ferry
Authorized official Brannen, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Apr 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932107927 NPPES
New York MEDICAID 02287410

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