Active NPI
VRNC LLC
- Skilled Nursing Facility
- Vestal, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0336301N
- Legal business name
- VRNC LLC
- Practice address
- 860 Old Vestal Rd
Vestal, NY 13850-1753 - Phone
- (607) 752-4105
- Fax
- (607) 748-5689
- NPI assigned
- Apr 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Efraim Steif
- Title
- Member
- Phone
- (845) 371-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0336301N | NY | Primary |
Addresses
Primary practice location
860 Old Vestal Rd
Vestal, NY 13850-1753
Mailing address
1 Hillcrest Ctr Ste 225
Spring Valley, NY 10977-3740
Phone (845) 371-8100
Other names 1
- Vestal Rehabilitation & Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110601000784 | NY | Part A Provider - Skilled Nursing Facility | 1254518160 | Practice locations: Vestal, NY |
Skilled nursing facility certification: CCN 335226
- Legal name
- VRNC LLC
- Doing business as
- VESTAL PARK REHABILITATION AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 30, 1967
- Last certification
- Jul 26, 2024
- Beds
- 180
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Dec 22, 2010 in NY
- Enrollment address
- 105 W Sheedy Rd
Vestal, NY 13850-3334 - Nursing home name
- VESTAL PARK REHABILITATION AND NURSING CENTER
- Affiliated entity
- UPSTATE SERVICES GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Vestal Park Rehabilitation and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 30, 1967
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- Upstate Services Group
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Uri Koenig | 5% Or Greater Direct Ownership Interest | Dec 22, 2010 | 60% |
| David Camerota | Other | Dec 22, 2010 | 0.1% |
| Efraim Steif | 5% Or Greater Direct Ownership Interest | Dec 22, 2010 | 39.9% |
| Operational/Managerial Control | Aug 15, 2017 | 39.9% | |
| Amy Wuertzer | Corporate Officer | Sep 14, 2017 | |
| Jack Augenstein | Corporate Officer | Apr 19, 2016 | |
| Madhukar Bhoomireddi | Contracted Managing Employee | Jun 5, 2008 | |
| Nathan Anderson | W-2 Managing Employee | May 24, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Binghamton, NY
- NPI 1225069446
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Binghamton, NY
- NPI 1225069446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302134400000",
"number": "1013207372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HILLCREST CTR STE 225",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109773740",
"telephone_number": "845-371-8100",
"fax_number": "845-371-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 OLD VESTAL RD",
"city": "VESTAL",
"state": "NY",
"postal_code": "138501753",
"telephone_number": "607-752-4105",
"fax_number": "607-748-5689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VRNC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-07",
"last_updated": "2011-04-07",
"status": "A",
"authorized_official_last_name": "STEIF",
"authorized_official_first_name": "EFRAIM",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "845-371-8100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "0336301N",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vestal Rehabilitation & Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.