Organization Active NPI

Hilaire Farm Skilled Living & Rehabilitation Center, LLC

Doing business as Huntington Village Rehab & Nursing

  • Skilled Nursing Facility
  • Huntington, NY
National Provider Identifier
1316956311
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5153310N Issued in NY
Legal business name
HILAIRE FARM SKILLED LIVING & REHABILITATION CENTER, LLC
Doing business as
Huntington Village Rehab & Nursing
Practice address
9 Hilaire Dr
Huntington, NY 11743-3768
Phone
(631) 427-0254
Fax
(631) 427-0469
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Mr. Robert Heppenheimer
Title
Executive Director
Phone
(631) 361-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5153310N NY Primary

Addresses

Primary practice location

9 Hilaire Dr
Huntington, NY 11743-3768

Mailing address

9 Hilaire Dr
Huntington, NY 11743-3768
Phone (631) 427-0254

Other identifiers 2

IdentifierTypeStateIssuer
00311073MedicaidNY
5153310NOtherNYNYS OPERATING CERTIFICATE

Other names 1

  • Huntington Village Rehab & Nursing Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1316956311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HILAIRE DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433768",
            "telephone_number": "631-427-0254",
            "fax_number": "631-427-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HILAIRE DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433768",
            "telephone_number": "631-427-0254",
            "fax_number": "631-427-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILAIRE FARM SKILLED LIVING & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "HEPPENHEIMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-361-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5153310N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00311073",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS OPERATING CERTIFICATE",
            "identifier": "5153310N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Village Rehab & Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.