Woodhaven Adult Home, LLC
NPI 1609998681 · Assisted Living Facility · Port Jefferson Station, NY
Woodhaven Adult Home, LLC is a Assisted Living Facility organization in Port Jefferson Station, NY (NPI 1609998681).
Provider details
- NPI number
- 1609998681
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Gaul, Sole Member(631) 473-7100
- License
- 700-F-905 (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
19 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
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Woodhaven Adult Home, LLC's NPI number?
- Woodhaven Adult Home, LLC's National Provider Identifier (NPI) is 1609998681, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Woodhaven Adult Home, LLC?
- Woodhaven Adult Home, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Woodhaven Adult Home, LLC located?
- Woodhaven Adult Home, LLC's practice location on file with NPPES is 1350 Route 112, Port Jefferson Station, NY 11776-3078.
- What is Woodhaven Adult Home, LLC's phone number?
- The practice phone number listed in the NPPES registry for Woodhaven Adult Home, LLC is (631) 473-7100.
- Who is the authorized official for Woodhaven Adult Home, LLC?
- The authorized official listed on Woodhaven Adult Home, LLC's NPPES record is Kenneth Gaul, Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Woodhaven Adult Home, LLC's NPI active?
- Yes — Woodhaven Adult Home, LLC's NPI (1609998681) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.