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Woodhaven Adult Home, LLC

Assisted Living Facility in Port Jefferson Station, NY · enumerated 2007 · authorized official Kenneth Gaul, Sole Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609998681

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Registry record

Entity type Organization (Type 2)
Legal business name Woodhaven Adult Home, LLC
Practice address 1350 Route 112, Port Jefferson Station, NY, 11776
Phone (631) 473-7100
Fax (631) 473-7118
Enumeration date Apr 3, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 700-F-905 (NY) Primary

Authorized official

Name Kenneth Gaul
Title Sole Member
Phone (631) 473-7100

Other identifiers

Identifier Type State Issuer
02362614 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Woodhaven Adult Home, LLC?
NPPES lists Kenneth Gaul (Sole Member) as the authorized official for this organization.
What is the NPI number for Woodhaven Adult Home, LLC?
The NPI for Woodhaven Adult Home, LLC is 1609998681, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.