| Organization Name: | SAN SIMEON BY THE SOUND CENTER FOR NURSING AND REHABILITATION, INC. |
| NPI Number: | 1225346133 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN SMYTH (EXECUTIVE VICE PRESIDENT) |
| Mailing Address: | 61700 Route 48 Greenport |
| State: | NY US |
| Postal Code: | 119442206 |
| Phone Number: | 6314772110 |
| Fax Number: | 6314778969 |
| NPI Enumeration Date: | 09/14/2010 |
| NPI Last Update Date: | 05/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 5127302N |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |