St. James Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5157305N Issued in NY

Legal business name

ST. JAMES NURSING HOME

Practice address

275 Moriches Rd
Saint James, NY 11780-2150

Phone

(631) 862-8000

Fax

(631) 862-6456

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Bernadethe M Walker, MSW

Title

Assistant Administrator

Phone

(631) 862-8000

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1972683142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MORICHES RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802150",
            "telephone_number": "631-862-8000",
            "fax_number": "631-862-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MORICHES RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802150",
            "telephone_number": "631-862-8000",
            "fax_number": "631-862-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JAMES NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BERNADETHE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "631-862-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5157305N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00311239",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLAIM CARE",
            "identifier": "0717450001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spages Pharmacy Inc
• Robin Lynn Spilko, M.A., CCC-SLP
• St James Fire District
• St James Medical Services PC
• St. James Dental Care, PLLC
• St. James Operating LLC
• St. James Plaza
• St. James Plaza Nursing Facility, LLC
• Georgina Stampelos, DMD
• Gus Stampelos, DMD

• Skilled Nursing Facility in Saint James, NY
• Providers in Saint James, 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 Apr 1, 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.