Active NPI
East Northport Residential Health Care Facility, Inc
Doing business as Huntington Hill Center for Health and Rehabilitation
- Skilled Nursing Facility
- Melville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5153309N
- Legal business name
- EAST NORTHPORT RESIDENTIAL HEALTH CARE FACILITY, INC
- Doing business as
- Huntington Hill Center for Health and Rehabilitation
- Practice address
- 400 S Service Rd
Melville, NY 11747-3229 - Phone
- (631) 439-3000
- Fax
- (631) 439-3001
- NPI assigned
- Nov 30, 2006
- Last updated
- Jan 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ken Knutsen
- Title
- Administrator
- Phone
- (631) 439-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5153309N | NY | Primary |
Addresses
Primary practice location
400 S Service Rd
Melville, NY 11747-3229
Mailing address
400 S Service Rd
Melville, NY 11747-3229
Phone (631) 439-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01987200 | Medicaid | NY |
Other names 1
- Huntington Hill Center for Health and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100120000025 | NY | Part A Provider - Skilled Nursing Facility | 6406998061 | Practice locations: Melville, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1568539609. Details of each certification follow.
Skilled nursing facility certification: CCN 335818
- Legal name
- EAST NORTHPORT RESIDENTIAL HEALTH CARE FACILITY, INC
- Doing business as
- HUNTINGTON HILLS CENTER FOR HEALTH AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 5, 1999
- Last certification
- Nov 15, 2024
- Beds
- 320
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 16, 1997 in NY
- Enrollment address
- 400S Service Rd
Melville, NY 11747-3316 - Nursing home name
- HUNTINGTON HILLS CENTER FOR HEALTH AND REHABILITATION
- Affiliated entity
- NATIONAL HEALTH CARE ASSOCIATES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Huntington Hills Center for Health and Rehabilitat
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Nov 5, 1999
- Medicare certification status
- Active
- Certified beds
- 320
- Chain
- National Health Care Associates
National Provider Directory
National Provider Directory- Tax ID family
- East Northport Residential Health Care Facility Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Valley Stream, NY
- NPI 1750632329
-
- Nursing Care Agency
- Melville, NY
- NPI 1760934285
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Doris Laufer | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 11.37% |
| Agnes Zitter | 5% Or Greater Direct Ownership Interest | Apr 1, 2013 | 7.5% |
| Michael Letter | W-2 Managing Employee | Apr 26, 2021 | 100% |
| David Lipschitz | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 10% |
| Gerald Neuman | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 6% |
| Susan Ostreicher | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 28.83% |
| Corporate Director | Jan 4, 2010 | 28.83% | |
| Estate of Tali Skoczylas | 5% Or Greater Direct Ownership Interest | Jan 7, 2020 | 6% |
| Nathan Pollack | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 7% |
| Nancy Nichols | 5% Or Greater Direct Ownership Interest | Jan 4, 2010 | 3% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Glen Cove Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Glen Cove, NY
- NPI 1366438418
Estate of Tali Skoczylas
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Amityville, NY
- NPI 1881601052
-
- Family Nurse Practitioner
- Cambria Heights, NY
- NPI 1801217229
-
- Rheumatology Physician
- Syosset, NY
- NPI 1174779359
-
- Internal Medicine Physician
- Amityville, NY
- NPI 1659433126
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262563200000",
"number": "1568539609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S SERVICE RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473229",
"telephone_number": "631-439-3000",
"fax_number": "631-439-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S SERVICE RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473229",
"telephone_number": "631-439-3000",
"fax_number": "631-439-3001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST NORTHPORT RESIDENTIAL HEALTH CARE FACILITY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2010-01-04",
"status": "A",
"authorized_official_last_name": "KNUTSEN",
"authorized_official_first_name": "KEN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "631-439-3000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "5153309N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01987200",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Huntington Hill Center for Health and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.