Glen Haven Residential Healthcare Fac. Inc
NPI 1396742938 · Skilled Nursing Facility · Port Jefferson, NY
Glen Haven Residential Healthcare Fac. Inc is a Skilled Nursing Facility organization in Port Jefferson, NY (NPI 1396742938).
Provider details
- NPI number
- 1396742938
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sanjay Ahuja, Vice President/Secretary(631) 473-5400
- License
- 5149303N (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Port Jefferson Healthcare Facility Inc
Registry dates
- Enumerated
- 2005-06-28
- Last updated
- 2015-07-09
Frequently asked questions
- What is Glen Haven Residential Healthcare Fac. Inc's NPI number?
- Glen Haven Residential Healthcare Fac. Inc's National Provider Identifier (NPI) is 1396742938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glen Haven Residential Healthcare Fac. Inc?
- Glen Haven Residential Healthcare Fac. Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Glen Haven Residential Healthcare Fac. Inc located?
- Glen Haven Residential Healthcare Fac. Inc's practice location on file with NPPES is 150 Dark Hollow Rd, Port Jefferson, NY 11777-2048.
- What is Glen Haven Residential Healthcare Fac. Inc's phone number?
- The practice phone number listed in the NPPES registry for Glen Haven Residential Healthcare Fac. Inc is (631) 473-5400.
- Who is the authorized official for Glen Haven Residential Healthcare Fac. Inc?
- The authorized official listed on Glen Haven Residential Healthcare Fac. Inc's NPPES record is Sanjay Ahuja, Vice President/Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glen Haven Residential Healthcare Fac. Inc's NPI active?
- Yes — Glen Haven Residential Healthcare Fac. Inc's NPI (1396742938) is active in the NPPES registry as of the last update on 2015-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.