KENNETH GAUL II, LLC (NPI# 1194893719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194893719 |
| Entity Type | Organization |
| Organization Name | KENNETH GAUL II, LLC |
| Practice Address |
6 Frowein Rd Center Moriches NY 11934-1604 |
| Practice Telephone | 6318784400 |
| Practice Fax Number | 6318786865 |
| Mailing Telephone | 6318784400 |
| Mailing Fax Number | 6318786865 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | MISS MADELINE C BUTLER (ADMINISTRATOR) |
| Authorized Official Telephone | 6318784400 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 5151313N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00311399 | 05 |
| Street Address |
6 FROWEIN RD |
| City | CENTER MORICHES |
| State | NY |
| Zip Code | 11934-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316360845 | Oasis Rehabilitation and Nursing LLC | Skilled Nursing Facility | 6 Frowein Rd, Center Moriches, NY 11934-1604 | 2014-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275915381 | Julie Stuart | Licensed Practical Nurse | 43 Railroad Ave, Center Moriches, NY 11934 | 2015-06-25 |
| 1932508520 | Christopher Gene Doloroso | Social Worker | 408 Main Street #3, Center Moriches, NY 11934 | 2014-08-19 |
| 1710236211 | Jeannine Casper | Behavioral Analyst | 20 Senix Avenue, Center Moriches, NY 11934 | 2012-08-30 |
| 1255600243 | Ellen Stein | Counselor | 129 Hewitt Blvd., Center Moriches, NY 11934 | 2011-12-20 |
| 1295035491 | Philip Henry Antz | Social Worker | 220 Mainstreet, Center Moriches, NY 11934 | 2010-10-22 |
| 1215169602 | Holly Lee Gordon | Social Worker | 408 Main St South, Center Moriches, NY 11934 | 2009-08-18 |
| 1740415744 | Sleep Disorder Center | Internal Medicine | 356 Maind St, Center Moriches, NY 11934 | 2009-05-19 |
| 1033358957 | Louise Florence Colon | Registered Nurse | 40 Trainor Ave, Center Moriches, NY 11934 | 2009-02-17 |
| 1710150271 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 21 Montauk Highway, Center Moriches, NY 11934 | 2008-04-07 |
| 1518096437 | Pamela Anne Mcdonald | Speech-Language Pathologist | 77 Union Street, Out East Occupational Therapy PC, Center Moriches, NY 11934 | 2007-03-05 |
| Find all providers in zip 11934 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710150271 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 21 Montauk Highway, Center Moriches, NY 11934 | 2008-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136626 | Savitri Singh, Md P.C. | Nursing Facility/Intermediate Care Facility | 479 Deer Park Ave, Babylon, NY 11702-1922 | 2019-04-16 |
| 1962964841 | Sapphire Hc, LLC | Nursing Facility/Intermediate Care Facility | 620 Sleepy Hollow Rd, Briarcliff Manor, NY 10510-2516 | 2019-04-01 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1861944167 | Sabine Valme | Nursing Facility/Intermediate Care Facility | 929 E 87th St, Brooklyn, NY 11236-3908 | 2016-11-03 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| 1164885166 | Independent Group Home Living Program Inc | Nursing Facility/Intermediate Care Facility | 908 Melville Estates, Melville, NY 11747 | 2016-03-29 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1417338005 | Hotel Benefit Funds | Nursing Facility/Intermediate Care Facility | 625 Main St Apt 1432, New York, NY 10044-0036 | 2015-06-09 |
| Find all providers with the same taxonomy | ||||
| City | CENTER MORICHES |
| Zip Code | 11934 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.