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Contact Information

BELLHAVEN MANAGEMENT LLC
110 BEAVER DAM RD
BROOKHAVEN, NY11719
 Phone: 631-286-8100
 Fax: 718-732-2481
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for BELLHAVEN MANAGEMENT LLC

NPI Number 1528398914
LBN Legal business name BELLHAVEN MANAGEMENT LLC
Authorized official CHARLES GROS - (EXECTUIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/06/2010
Last updated 01/06/2010 - About 16 years ago
Identifiers
NY Medicaid 01285730
NY Medicaid 01449090
NY Medicaid 03025216
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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