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Contact Information

EXTENDACARE INC.
646 MAIN ST
PORT JEFFERSON, NY11777-2235
 Phone: 631-473-1317
 Fax: 631-473-1337
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Home Infusion

251F00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for EXTENDACARE INC.

NPI # 1669692448
LBN Legal business name EXTENDACARE INC.
Authorized official BRUCE UVEGES - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2007
Last updated 10/06/2008 - About 18 years ago
Identifiers
NY License # 9589L001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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