NESCONSET ACQUISITION LLC NPI 1750538054

NPI Information

  • NPI: 1750538054
  • Provider Name: NESCONSET ACQUISITION LLC
  • Classification: Custodial Care Facility - 311Z00000X
  • Entity Type: Organization
  • Doing Business As: MIDDLE ISLAND ADHS
  • CLIA Number: 33D0968033
  • Address: 45 ROCKY POINT RD
    MIDDLE ISLAND, NY
    ZIP 11953
  • Phone: (631) 924-0700

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NPI Details

NESCONSET ACQUISITION LLC is a custodial care facility in Middle Island, NY. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. NESCONSET ACQUISITION LLC NPI is 1750538054. The provider is registered as an organization entity type.
The provider Is Doing Business As Middle Island Adhs.

The provider's business location address is:

45 ROCKY POINT RD
MIDDLE ISLAND, NY
ZIP 11953-218
Phone: (631) 924-0700
Fax: (631) 924-0894

The provider's authorized official is Robert Heppenheimer .
The authorized official title is Executive Director and has the following contact phone number (631) 361-8800.

The CLIA number assigned to this NPI record is 33D0968033 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 4/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing Facility5157507NNEW YORKNo
2311Z00000XCustodial Care Facility5157315NNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100848751MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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