Jbg Holding Company LLC
NPI 1568459279 · Skilled Nursing Facility · Port Jefferson Station, NY
Jbg Holding Company LLC is a Skilled Nursing Facility organization in Port Jefferson Station, NY (NPI 1568459279).
Provider details
- NPI number
- 1568459279
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Gaul, Administrator(631) 473-7100
- License
- 5151316N (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
- Woodhaven Nursing Home
Registry dates
- Enumerated
- 2005-09-29
- Last updated
- 2012-02-24
Frequently asked questions
- What is Jbg Holding Company LLC's NPI number?
- Jbg Holding Company LLC's National Provider Identifier (NPI) is 1568459279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jbg Holding Company LLC?
- Jbg Holding Company LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Jbg Holding Company LLC located?
- Jbg Holding Company LLC's practice location on file with NPPES is 1360 Route 112, Port Jefferson Station, NY 11776-3078.
- What is Jbg Holding Company LLC's phone number?
- The practice phone number listed in the NPPES registry for Jbg Holding Company LLC is (631) 473-7100.
- Who is the authorized official for Jbg Holding Company LLC?
- The authorized official listed on Jbg Holding Company LLC's NPPES record is Kenneth Gaul, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jbg Holding Company LLC's NPI active?
- Yes — Jbg Holding Company LLC's NPI (1568459279) is active in the NPPES registry as of the last update on 2012-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.