Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jbg Holding Company LLC

Organization Skilled Nursing Facility · NPI 1568459279

Jbg Holding Company LLC is a Skilled Nursing Facility in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1360 Route 112
Port Jefferson Station, NY 11776-3078 Not confirmed with CMS for 14 years — call before visiting
Phone: (631) 473-7100
Fax: (631) 473-7118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 5151316N (NY)

Record details

NPI number1568459279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Gaul — Administrator · (631) 473-7100
Other names Woodhaven Nursing Home
NPI enumeratedSeptember 29, 2005
Last updated in NPPESFebruary 24, 2012
Mailing address1360 Route 112, Port Jefferson Station, NY 11776-3078

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Port Jefferson Station