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Organization
NESCONSET ACQUISITION LLC
Active
Organization
NESCONSET ACQUISITION LLC
Active
Parent organization
NESCONSET ACQUISITION
Other names
Islip ADHS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NESCONSET ACQUISITION
Authorized official
MR. ROBERT HEPPENHEIMER (EXECUTIVE DIRECTOR)
(631) 361-8800
Entity
Organization
Contact information
Practice address
575 CLAYTON ST, CENTRAL ISLIP, NY 11722-3021
(631) 234-0550
(631) 234-0635
Mailing address
100 SOUTHERN BLVD, NESCONSET, NY 11767-1749
(631) 361-8800
(631) 361-9528
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
5157315N
NY
314000000X
Skilled Nursing Facility
5157507N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00848751
—
NY
Enumeration date
08/19/2008
Last updated
04/10/2014
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