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Extendacare Inc.
Nursing Care Agency in Port Jefferson, New York
NPI 1669692448

Extendacare Inc. is a Nursing Care Agency based in Port Jefferson, NY. Extendacare Inc. practices in Port Jefferson, NY. The NPI Number for Extendacare Inc. is 1669692448 and holds a License No. 9589L001 (New York).

The current practice location address for Extendacare Inc. is 646 Main St, Port Jefferson, NY and can be reached out via phone at 631-473-1317 and via fax at 631-473-1337.

Location: 646 Main St, Port Jefferson, NY, 11777-2235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669692448
Provider Name
Extendacare Inc.
Credential
Provider Entity Type
Organization
Address
646 Main St, Port Jefferson, NY, 11777-2235
Phone Number
631-473-1317
Fax Number
631-473-1337
Provider Enumeration Date
04/26/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
646 Main St
City
Port Jefferson
State
New York
Zip
11777-2235
Phone Number
631-473-1317
Fax Number
631-473-1337
person
Provider Business Mailing Address Details
Address
646 Main St
City
Port Jefferson
State
New York
Zip
11777-2235
Phone Number
631-473-1317
Fax Number
631-473-1337
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
9589L001 (New York)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
251F00000X
License No.
9589L001 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
9589L001 (New York)
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
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