ABSOLUT CENTER FOR NURSING AND REHABILITATION AT GASPORT, LLC (NPI# 1417084237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417084237 |
| Entity Type | Organization |
| Organization Name | ABSOLUT CENTER FOR NURSING AND REHABILITATION AT GASPORT, LLC |
| Practice Address |
4540 Lincoln Dr Gasport NY 14067-9212 |
| Mailing Address |
300 Gleed Ave East Aurora NY 14052-2980 |
| Practice Telephone | 7167722631 |
| Practice Fax Number | 7167722054 |
| Mailing Telephone | 7166522820 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | MR. ISRAEL SHERMAN (MANAGING MEMBER) |
| Authorized Official Telephone | 7166522820 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 3158302N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FAMILY CHOICE SKILLED | 6V | 01 |
| NY | UNIVERA/EXCELLUS | 00011428902 | 01 |
| NY | 01514718 | 05 | |
| NY | UNITED HEALTHCARE | 7100369 | 01 |
| NY | INDEPENDENT HEALTH | 6V | 01 |
| NY | BLUE CROSS/BLUE SHIELD | 000000254002 | 01 |
| NY | FAMILY CHOICE SUBACUTE | W4 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ABSOLUT CENTER FOR NURSING AND REHABILITATION AT GASPORT, LLC | Co Absolut Facilities Mgmt LLC, 300 Gleed Avenue, East Aurora, Ny 14052 |
| Street Address |
4540 LINCOLN DR |
| City | GASPORT |
| State | NY |
| Zip Code | 14067-9212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235176165 | Village Park Healthcare Center, Inc. | Skilled Nursing Facility | 4540 Lincoln Dr, Gasport, NY 14067-9212 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073667986 | Dentistry By Dr. Kaplansky, Pllc | Dentist | 8038 Rochester Road, Gasport, NY 14067 | 2007-01-22 |
| 1811068844 | Gasport Chiropractic & Wellness, PC | Chiropractor | 4437 Main St., Gasport, NY 14067 | 2006-11-13 |
| 1861560070 | Carey A Drum | Registered Nurse | 8432 East Ave, Gasport, NY 14067-9103 | 2006-12-04 |
| 1790120020 | Caroline Marie Carballa | Massage Therapist | 4437 Main St, Gasport, NY 14067-9201 | 2013-04-30 |
| 1043728223 | Jordan Elizabeth Davis | Occupational Therapist | 4500 Orchard Pl, Gasport, NY 14067-9208 | 2018-01-22 |
| 1033112024 | Igor V Kaplansky | Dentist | 8038 Rochester Rd, Gasport, NY 14067-9210 | 2005-05-23 |
| 1700951795 | Rajeev N Revankar | Dentist | 8403 Rochester Rd, Gasport, NY 14067-9211 | 2006-11-22 |
| 1144453952 | William J Martell | Dentist | 8403 Rochester Rd, Gasport, NY 14067-9211 | 2009-08-27 |
| 1871936252 | Cynthia Jean Flowers | Specialist | 7650 Royal Dr, Gasport, NY 14067-9261 | 2013-04-16 |
| 1306107420 | Marion Marie Carter | Specialist | 7960 Chestnut Ridge Rd, Gasport, NY 14067-9277 | 2012-06-05 |
| Find all providers in zip 14067 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235176165 | Village Park Healthcare Center, Inc. | Skilled Nursing Facility | 4540 Lincoln Dr, Gasport, NY 14067-9212 | 2006-05-31 |
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|---|---|---|---|---|
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| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1659936334 | Nelson Tannis | Skilled Nursing Facility | 165 Broadway, New York, NY 10006-1404 | 2019-05-07 |
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1952883423 | Roscoe Regional Healthcare LLC | Skilled Nursing Facility | 420 Rockland Rd, Roscoe, NY 12776-6450 | 2018-08-31 |
| 1164904769 | Renaissance Healthcare Group, LLC | Skilled Nursing Facility | 4975 Albany Post Rd, Staatsburg, NY 12580-6032 | 2018-08-30 |
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1376058578 | Yonkers Gardens, LLC | Skilled Nursing Facility | 115 S Broadway, Yonkers, NY 10701-4006 | 2017-12-10 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.