St Johnland Nursing Center

LBN: St Johnland Nursing Center
St Johnland Nursing Center is an health care organization with primary practice located at 395 Sunken Meadow Rd , Kings Park NY 11754-1000. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. St Johnland Nursing Center can be contacted via phone (631) 269-5800, or through Weber, Mary Jean via phone (631) 269-5800.

Contact Information

Primary practice address
395 Sunken Meadow Rd Kings Park NY 11754-1000
Phone: (631) 269-5800
Fax: (631) 269-5876
Website:
Map and Directions
Authorized official contact:
Name: Weber, Mary Jean
Phone: (631) 269-5800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5157311N New York
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1447286174
LBN Legal business name St Johnland Nursing Center
DBA Doing business as
Authorized official Weber, Mary Jean
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1447286174 NPPES
New York MEDICAID 00309393
New York Other 3349328

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