John T. Mather Memorial Hospital
Skilled Nursing Facility in Port Jefferson, New York
NPI 1093718728
John T. Mather Memorial Hospital is a Skilled Nursing Facility based in Port Jefferson, NY. John T. Mather Memorial Hospital practices in Port Jefferson, NY. The NPI Number for John T. Mather Memorial Hospital is 1093718728 and holds a License No. 5149000 (New York).
The current practice location address for John T. Mather Memorial Hospital is 75 N Country Rd, Port Jefferson, NY and can be reached out via phone at 631-473-1320 and via fax at 631-686-1459.
Location: 75 N Country Rd, Port Jefferson, NY, 11777-2190
Provider Profile Details
NPI Number
1093718728
Provider Name
John T. Mather Memorial Hospital
Credential
Provider Entity Type
Organization
Address
75 N Country Rd, Port Jefferson, NY, 11777-2190
Phone Number
631-473-1320
Fax Number
631-686-1459
Provider Enumeration Date
05/27/2005
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100822 | 05 | WA | |
| 00274364 | 05 | NY | |
| 3300185 | 05 | NC | |
| HSP32196 | 05 | CA | |
| HSP42196 | 05 | CA | |
| 3044310 | 05 | CT | |
| 110851658 | 05 | PA | |
| 1206575 | 05 | MA | |
| 21920 | 05 | MD | |
| 6004504 | 05 | NJ |
Provider Business Practice Location Address Details
Address
75 N Country Rd
City
State
Zip
11777-2119
Phone Number
631-473-1320
Fax Number
631-686-1459
Provider Business Mailing Address Details
Address
75 N Country Rd
City
State
Zip
11777-2119
Phone Number
631-473-1320
Fax Number
631-686-1459
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Psychiatric Unit
Speciality
-
Taxonomy
License No.
5149000 (New York)
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Provider's Taxonomy Details 2
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
-
Taxonomy
License No.
5149000 (New York)
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
License No.
5149000 (New York)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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