OrganizationActive
Away From Home Senior Day Care
NPI 1720326077 · Alzheimer Center (Dementia Center) · Port Jefferson Station, NY
Provider details
- NPI number
- 1720326077
- Entity type
- Organization
- Primary specialty
- Alzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Elisa Bellido, Ceo(917) 796-5622
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Custodial Care Facility311Z00000X
Nursing & Custodial Care Facilities
Practice location
1500 Route 112
Building 6, Suite a
Port Jefferson Station, NY 11776-8054
Phone: (917) 796-5622
Approximate (ZIP-level) locationGet directions
Mailing address
31 Janet St
Port Jefferson Station, NY 11776-3613
Registry dates
- Enumerated
- 2013-01-22
- Last updated
- 2013-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.