Peconic Bay Skilled Nursing Facility

LBN: Central Suffolk Hospital
Peconic Bay Skilled Nursing Facility is an health care organization with primary practice located at 1300 Roanoke Ave , Riverhead NY 11901-2031. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Central Suffolk Hospital can be contacted via phone (631) 548-6000, or through Mcmanus, Ronald via phone (631) 548-6071.

Contact Information

Primary practice address
1300 Roanoke Ave Riverhead NY 11901-2031
Phone: (631) 548-6000
Fax: (631) 548-6007
Website:
Map and Directions
Authorized official contact:
Name: Mcmanus, Ronald
Phone: (631) 548-6071

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 5155000N New York

Profile Details

NPI number 1114973856
LBN Legal business name Central Suffolk Hospital
DBA Doing business as Peconic Bay Skilled Nursing Facility
Authorized official Mcmanus, Ronald
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Jan 20th, 2015 - about 9 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 1114973856 NPPES
New York MEDICAID 01040922
New York Other 009459

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