Organization Active NPI

Babylon Beach House for Adults

  • Adult Care Home Facility
  • Babylon, NY
National Provider Identifier
1104086719
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
700-F-131 Issued in NY
Legal business name
BABYLON BEACH HOUSE FOR ADULTS
Practice address
23 Yacht Club Rd
Babylon, NY 11702-4511
Phone
(631) 669-3323
Fax
(631) 669-2571
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Scott W Lockwood
Title
Owner
Phone
(631) 669-3323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 700-F-131 NY Primary

Addresses

Primary practice location

23 Yacht Club Rd
Babylon, NY 11702-4511

Mailing address

23 Yacht Club Rd
Babylon, NY 11702-4511
Phone (631) 669-3323

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2215966Babylon Beach House for Adults23 Yacht Club Rd, Babylon, NY 11702Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

23 Yacht Club Rd
Babylon, NY 11702
Phone (631) 639-6623

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1104086719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 YACHT CLUB RD",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117024511",
            "telephone_number": "631-669-3323",
            "fax_number": "631-669-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 YACHT CLUB RD",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117024511",
            "telephone_number": "631-669-3323",
            "fax_number": "631-669-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABYLON BEACH HOUSE FOR ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "LOCKWOOD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-669-3323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "700-F-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.