ACTIVE RETIREMENT COMMUNITY (NPI# 1538548037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538548037 |
| Entity Type | Organization |
| Organization Name | ACTIVE RETIREMENT COMMUNITY |
| Other Organization Name | JEFFERSON'S FERRY |
| Practice Address |
500 Mather Dr South Setauket NY 11720-4701 |
| Practice Telephone | 6316502724 |
| Mailing Telephone | 6316502724 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | MR. BRIAN AMTMANN (CHIEF FINANCIALL OFFICER) |
| Authorized Official Telephone | 6316502724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
5151317N | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jefferson's Ferry | Doing Business As Name - Organization |
| Street Address |
500 MATHER DR |
| City | SOUTH SETAUKET |
| State | NY |
| Zip Code | 11720-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107927 | Active Retirement Community, Inc. | Assisted Living Facility | 500 Mather Dr, South Setauket, NY 11720-4701 | 2005-07-13 |
| 1700249760 | Active Retirement Community Inc. | Clinic/Center | 500 Mather Dr, South Setauket, NY 11720-4701 | 2016-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409087 | Carolyn Barravecchio | Marriage & Family Therapist | 35 South Kennedy Drive, Centereach, NY 11720 | 2019-10-28 |
| 1588158406 | Robin Smith | Social Worker | 129 Dawn Drive, Centereach, NY 11720 | 2018-06-15 |
| 1154820553 | Amanda Grodewald-adler, Psy.d., Pllc | Clinic/Center | 1919 Middle Country Rd Ste 308, Centereach, NY 11720 | 2018-02-12 |
| 1760901144 | Gabrielle Tatiana Zutter | Behavior Technician | 23 Jay Road, Centerach, NY 11720 | 2017-09-16 |
| 1619401544 | Michelle Leblanc | Licensed Practical Nurse | 8 Catalina Ct, Centerreach, NY 11720 | 2017-04-18 |
| 1023557212 | Alexa Brooke Ruggiero | Student in an Organized Health Care Education/Training Program | 30 Strathmore Village Dr, South Setauket, NY 11720 | 2017-02-21 |
| 1336539519 | Rosemarie Bruno | Social Worker | 3771 Nesconset Hwy Ste 102a, South Setauket, NY 11720 | 2015-01-27 |
| 1225446115 | Kristen Kunkel | Specialist/Technologist | 26 Lily Dr, South Setauket, NY 11720 | 2014-07-24 |
| 1497175897 | Jacqueline Maddox | Student in an Organized Health Care Education/Training Program | 11 43rd Street, Centereach, NY 11720 | 2014-04-24 |
| 1336492370 | Valentina Blaine | Optometrist | 1958 Middle Country Rd, Centereach, NY 11720 | 2012-10-15 |
| Find all providers in zip 11720 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1053970038 | Kidz In Motion | Clinic/Center | 25 Brookville Ave, Ossining, NY 10562-4513 | 2019-06-12 |
| 1609431576 | Maimonides Bone and Joint Faculty Practice Physical Therapy | Clinic/Center | 6010 Bay Pkwy Fl 1, Brooklyn, NY 11204-6079 | 2019-05-07 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SETAUKET |
| Zip Code | 11720 |
Please comment or provide details below to improve the information on ACTIVE RETIREMENT COMMUNITY.
| 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.