AWAY FROM HOME SENIOR DAY CARE (NPI# 1720326077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720326077 |
| Entity Type | Organization |
| Organization Name | AWAY FROM HOME SENIOR DAY CARE |
| Practice Address |
1500 Route 112 Building 6, Suite A Port Jefferson Station NY 11776-8054 |
| Mailing Address |
31 Janet St Port Jefferson Station NY 11776-3613 |
| Practice Telephone | 9177965622 |
| Mailing Telephone | 9177965622 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | MRS. ELISA MIRIAM BELLIDO (CEO) |
| Authorized Official Telephone | 9177965622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities |
| Street Address |
1500 ROUTE 112 BUILDING 6, SUITE A |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-8054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446726 | Jeffrey L Vacirca | Internal Medicine | 1500 Route 112, Bldg 4, Port Jefferson Station, NY 11776-8055 | 2005-06-13 |
| 1740807791 | Sarah Lynn Frisina | Audiologist | 1500 Route 112, Building 4 Second Fl, Port Jefferson Station, NY 11776 | 2020-06-25 |
| 1982262903 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 1500 Route 112, Port Jefferson Station, NY 11776-8054 | 2019-06-04 |
| 1881134815 | Port Jefferson Asc, LLC | Clinic/Center | 1500 Route 112, Bldg 3, Port Jefferson Station, NY 11776 | 2017-02-23 |
| 1538533344 | Jacqueline Schomber | Psychologist | 1500 Route 112, Bldg 6, Port Jefferson Station, NY 11776-8054 | 2015-11-17 |
| 1235551052 | Long Island Digestive Endoscopy Center, LLC | Clinic/Center | 1500 Route 112, Bldg 5, Port Jefferson Station, NY 11776-8054 | 2014-01-14 |
| 1053636431 | Jennifer Marie Diaz | Allergy & Immunology | 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 | 2010-03-29 |
| 1689800633 | Thomas P. Erhart Do PC | Obstetrics & Gynecology | 1500 Route 112, Bldg 11, Suite B, Port Jefferson Station, NY 11776-3060 | 2009-06-04 |
| 1851527972 | Washington Park Women's Health PC | Obstetrics & Gynecology | 1500 Route 112, Bldg 11 Suite A, Port Jefferson Station, NY 11776-3060 | 2009-06-03 |
| 1871763508 | Craig Michael Litman | Otolaryngology | 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 | 2008-03-10 |
| Find all providers in the same location | ||||
| 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 | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316383086 | Away From Home Adult Day Care, LLC | Alzheimer Center (Dementia Center) | 1660 Route 112, Suite G, Port Jefferson Station, NY 11776-8057 | 2013-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013473545 | Bv Sayville Operator, LLC | Alzheimer Center (Dementia Center) | 445 Broadway Avenue, Sayville, NY 11782 | 2019-02-20 |
| 1346730298 | Bv Lake Tappan Operator LLC | Alzheimer Center (Dementia Center) | 31 Hunt Road, Orangeburg, NY 10962 | 2018-05-16 |
| 1801330840 | Elzana Sabovic | Alzheimer Center (Dementia Center) | 2447 Mickle Ave, Bronx, NY 10469-6203 | 2016-12-09 |
| 1467802058 | Bv Tarrytown Operator LLC | Alzheimer Center (Dementia Center) | 581 Old White Plains Road, Tarrytown, NY 10591 | 2016-06-15 |
| 1538497185 | Painted Post Properties, Inc. | Alzheimer Center (Dementia Center) | 200 Southwestern Dr, Lakewood, NY 14750-2118 | 2009-11-19 |
| 1801008651 | Carter Burden Center | Alzheimer Center (Dementia Center) | 445 E 85th St, New York, NY 10028-6348 | 2007-05-04 |
| 1821049164 | Cobble Hill Health Center Inc | Alzheimer Center (Dementia Center) | 380 Henry Street, Brooklyn, NY 11201 | 2006-05-12 |
| 1780118620 | Reliance Home Senior Services | Alzheimer Center (Dementia Center) | 1035 Park Blvd, Massapequa Park, NY 11762-2743 | 2017-04-18 |
| 1164821120 | Parker Jewish Institute for Health Care and Rehabilitation | Alzheimer Center (Dementia Center) | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2014-08-15 |
| 1568891810 | Memory Garden At Tanglewood Manor, Inc | Alzheimer Center (Dementia Center) | 560 Fairmount Ave, Jamestown, NY 14701-2749 | 2013-11-07 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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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.