AWAY FROM HOME ADULT DAY CARE, LLC (NPI# 1316383086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316383086 |
| Entity Type | Organization |
| Organization Name | AWAY FROM HOME ADULT DAY CARE, LLC |
| Practice Address |
1660 Route 112 Suite G Port Jefferson Station NY 11776-8057 |
| Practice Telephone | 6317439200 |
| Practice Fax Number | 6317439203 |
| Mailing Telephone | 6317439200 |
| Mailing Fax Number | 6317439203 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2014-08-11 |
| Authorized Official Name | MS. ELISA MIRIAM BELLIDO (PRESIDENT) |
| Authorized Official Telephone | 6317439200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | AWAY FROM HOME ADULT DAY CARE, LLC | 1660 Route 112, Port Jefferson Stn, New York 11776 |
| Street Address |
1660 ROUTE 112 SUITE G |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-8057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699091 | Aging With Grace LLC | Clinic/Center | 690 Route 211 E, Middletown, NY 10941-1758 | 2020-11-04 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1578173415 | Access Initiative LLC | Clinic/Center | 64 E 111th St Apt 907, New York, NY 10029-2688 | 2020-08-05 |
| 1225648454 | Angelica's Angels LLC | Clinic/Center | 188 Riverside Dr, Fultonville, NY 12072-1825 | 2020-08-03 |
| 1255940052 | Good Faith Social Daycare | Clinic/Center | 1385 Bay St, Staten Island, NY 10305-3901 | 2020-07-28 |
| 1821618919 | Bnb Adult Daycare Corp | Clinic/Center | 15301 Northern Blvd Ste 1b, Flushing, NY 11354-5051 | 2020-04-20 |
| 1083246888 | Brightest Adult Day Care Center LLC | Clinic/Center | 667 61st St, Brooklyn, NY 11220-4123 | 2020-02-10 |
| 1952933947 | Unity Adult Daycare Inc | Clinic/Center | 16210 Highland Ave, Jamaica, NY 11432-3438 | 2020-02-07 |
| 1790317824 | Boston Road Care LLC | Clinic/Center | 1698 Boston Rd, Bronx, NY 10460-4948 | 2020-02-06 |
| 1679105738 | Mommy Social Adult Day Care, Inc. | Clinic/Center | 6151 Fresh Meadow Ln, Fresh Meadows, NY 11365-2018 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on AWAY FROM HOME ADULT DAY CARE, LLC.
| 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.