HERITAGE MANOR OF RANSOMVILLE (NPI# 1740683226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740683226 |
Entity Type | Organization |
Organization Name | HERITAGE MANOR OF RANSOMVILLE |
Practice Address |
3509 Ransomville Rd Ransomville NY 14131-9602 |
Practice Telephone | 7167914211 |
Enumeration Date | 2014-09-29 |
Last Update Date | 2014-09-29 |
Authorized Official Name | MR. DANNY ZYSKIND (ASSISTANT ADMINISTRATOR) |
Authorized Official Telephone | 7167914211 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
2033L001 | NY | Nursing & Custodial Care Facilities |
Street Address |
3509 RANSOMVILLE RD |
City | RANSOMVILLE |
State | NY |
Zip Code | 14131-9602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669798559 | Helen Rozine Nicosia | Registered Nurse | 3509 Ransomville Rd, Ransomville, NY 14131-9602 | 2010-04-16 |
1023476223 | Brian Sean Bunny | Community Health Worker | 3509 Ransomville Rd, Ransomville, NY 14131-9602 | 2016-02-02 |
1972929537 | Danny Zyskind | Home Health Aide | 3509 Ransomville Rd, Ransomville, NY 14131-9602 | 2014-03-06 |
1386962579 | John James Perak | Social Worker | 3509 Ransomville Rd, Ransomville, NY 14131 | 2010-05-12 |
1003132929 | Nancy Lynne Graeff | Registered Nurse | 3509 Ransomville Rd, Ransomville, NY 14131-9602 | 2010-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427510288 | Darina Marie Shaw | Licensed Practical Nurse | 2476 Moore Road, Ransomville, NY 14131 | 2019-04-02 |
1285817460 | Richard J Degiulio | Pharmacist | 3636 Ransomville Road, Ransomville, NY 14131 | 2007-12-11 |
1225150329 | James J Degiulio | Pharmacist | 3636 Ransomville Road, Ransomville, NY 14131 | 2007-04-06 |
1841767092 | Taylor Ann Miller | Specialist/Technologist | 2799 Lower Mountain Rd, Ransomville, NY 14131-9322 | 2018-10-25 |
1417498171 | Kailey Schultz | Occupational Therapy Assistant | 2253 Old Lake Rd, Ransomville, NY 14131-9413 | 2017-03-14 |
1043473200 | Joan J Buckmaster-minarcin | Massage Therapist | 2323 Old Lake Rd, Ransomville, NY 14131-9414 | 2008-07-08 |
1992101711 | Laura L Ostrander | Licensed Practical Nurse | 3773 Randall Rd, Ransomville, NY 14131-9509 | 2014-11-05 |
1134294127 | Mary Margaret Weiler | General Practice | 3983 Wilson Cambria Rd, Ransomville, NY 14131-9613 | 2006-11-22 |
1194061218 | Jacqueline M Leggett | Registered Nurse | 3575 Curtis Ave, Ransomville, NY 14131-9624 | 2012-12-18 |
1821509506 | Kyle William Kenyon Clayton | Chiropractor | 2551 Youngstown Lockport Rd, Ransomville, NY 14131-9668 | 2017-10-20 |
Find all providers in zip 14131 |
Taxonomy Code | 3104A0625X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
Specialization | Assisted Living, Mental Illness |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578911921 | Leroy Manor | Assisted Living Facility | 8678 Lake Street Road, Leroy, NY 14482 | 2016-05-26 |
1043679384 | Blakes Income Tax Services | Assisted Living Facility | 4509 White Plains Road, Bronx, NY 10470 | 2016-02-15 |
1578909594 | Tanis Phillips | Assisted Living Facility | 98 Cathedral Ln, Cheektowaga, NY 14225-4612 | 2013-05-16 |
1770783813 | Loretto Geriatric Community Residence | Assisted Living Facility | 750 E Brighton Ave, Syracuse, NY 13205-2201 | 2007-07-18 |
1861526055 | Ohel Children's Home &family Services | Assisted Living Facility | 1217 Gateway Blvd, Far Rockaway, NY 11691 | 2007-03-16 |
1407913619 | Capital District Psychiatric Center | Assisted Living Facility | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
1407911928 | Middletown Psychiatric Center | Assisted Living Facility | 140 Old Orangeberg Rd, Orangeberg, NY 10962 | 2006-12-26 |
1588033609 | Nys Office of Mental Health | Assisted Living Facility | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2015-09-18 |
1487057972 | Mary Agnes Manor | Assisted Living Facility | 307 Porter Ave, Buffalo, NY 14201-1031 | 2014-09-29 |
1619123999 | Crystal Run Village | Assisted Living Facility | 601 Stony Ford Rd, Middletown, NY 10941-3951 | 2008-08-18 |
Find all providers with the same taxonomy |
City | RANSOMVILLE |
Zip Code | 14131 |
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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.