Organization Active NPI

Glengariff Corporation

Doing business as Glengariff Healthcare Center

  • Skilled Nursing Facility
  • Glen Cove, NY
National Provider Identifier
1174520704
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2901300N Issued in NY
Legal business name
GLENGARIFF CORPORATION
Doing business as
Glengariff Healthcare Center
Practice address
141 Dosoris LN
Glen Cove, NY 11542-1225
Phone
(516) 676-1100
Fax
(516) 759-0267
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Mr. Sanjay Ahuja
Title
President
Phone
(516) 676-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2901300N NY Primary

Addresses

Primary practice location

141 Dosoris LN
Glen Cove, NY 11542-1225

Mailing address

141 Dosoris LN
Glen Cove, NY 11542-1225
Phone (516) 676-1100

Other identifiers 1

IdentifierTypeStateIssuer
00313039MedicaidNY

Other names 1

  • Glengariff Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1174520704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 DOSORIS LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421225",
            "telephone_number": "516-676-1100",
            "fax_number": "516-759-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DOSORIS LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421225",
            "telephone_number": "516-676-1100",
            "fax_number": "516-759-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENGARIFF CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-676-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2901300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00313039",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glengariff Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.