The Long Island Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE LONG ISLAND HOME

Doing business as

Broadlawn Manor NH ADHC

Practice address

400 Sunrise Hwy
Amityville, NY 11701-2508

Phone

(631) 264-4000

Fax

(631) 396-0025

NPI assigned

Dec 18, 2007

Last updated

Jan 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patricia A Porter

Title

Cfo

Phone

(631) 608-5107

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Broadlawn Manor NH ADHC Doing business as

Tax ID family

Wsnchs East Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• The Long Island Home

  dba Broadlawn Manor Social Daycare

  • Skilled Nursing Facility
  • Amityville, NY
  • NPI 1073500559
  NPD tax ID
• The Long Island Home

  dba South Oaks Hospital

  • Psychiatric Hospital
  • Amityville, NY
  • NPI 1568459204
  NPD tax ID
• The Long Island Home

  • Adolescent and Children Mental Health Clinic/Center
  • Amityville, NY
  • NPI 1831585173
  NPD tax ID
• Wsnchs East Inc

  dba South Oaks Hospital Broadlawn Manor NCC

  • Pharmacist
  • Amityville, NY
  • NPI 1629054325
  NPD tax ID

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201392000000",
    "number": "1588848113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "631-264-4000",
            "fax_number": "631-396-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "631-264-4000",
            "fax_number": "631-396-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LONG ISLAND HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-01-27",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "631-608-5107",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01605545",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadlawn Manor NH ADHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Taylor, LMSW
• Eileen Mary Taylor, D.C.
• Terapro. Care
• The Long Island Home (Broadlawn Manor Social Daycare)
• The Long Island Home (South Oaks Hospital)
• The Long Island Home (Broadlawn Manor Nursing Care Ct)
• The Long Island Home (South Oaks Hospital)
• The Long Island Home
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy#550)
• Claude Theodore Jr.

• Skilled Nursing Facility in Amityville, NY
• Providers in Amityville, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2008; 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.