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. Medicare rates this nursing home 1 out of 5. Licensed in New York.

CMS rating
1 of 5
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.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 335514)
Health inspection1.0 / 5
Staffing2.0 / 5
Quality measures4.0 / 5
OwnershipFor profit - Individual

Practice location Address checks out

1360 Route 112
Port Jefferson Station, NY 11776-3078
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

Other providers in Port Jefferson Station