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

Private Self Care Provider

Organization Pediatric Skilled Nursing Facility · NPI 1609128487

Private Self Care Provider is a Pediatric Skilled Nursing Facility in Valley Stream, New York. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

53 5th St
Valley Stream, NY 11581-1210
Phone: (347) 267-2991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Skilled Nursing Facility (primary) Taxonomy 3140N1450X

Record details

NPI number1609128487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Telfort — Rn · (347) 267-2991
NPI enumeratedOctober 4, 2012
Last updated in NPPESOctober 4, 2012
Mailing address53 5th St, Valley Stream, NY 11581-1210

Other providers in Valley Stream