Organization Active NPI

New Sans Souci Nursing Home,LLC

  • Skilled Nursing Facility
  • Yonkers, NY
National Provider Identifier
1023005329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5907310N Issued in NY
Legal business name
NEW SANS SOUCI NURSING HOME,LLC
Practice address
115 Park Ave
Yonkers, NY 10703-2903
Phone
(914) 423-9800
Fax
(914) 965-3741
NPI assigned
Oct 1, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rivka H Gelbtuch
Title
Operator/Asst Administrator
Phone
(914) 423-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5907310N NY Primary

Addresses

Primary practice location

115 Park Ave
Yonkers, NY 10703-2903

Mailing address

115 Park Ave
Yonkers, NY 10703-2903
Phone (914) 423-9800

Other identifiers 1

IdentifierTypeStateIssuer
00308714MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0718042Sans Souci Nursing Home LLC115 Park Ave, Yonkers, NY 10703Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
New Sans Souci Nursing Homellc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023005329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032903",
            "telephone_number": "914-423-9800",
            "fax_number": "914-965-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032903",
            "telephone_number": "914-423-9800",
            "fax_number": "914-965-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SANS SOUCI NURSING HOME,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GELBTUCH",
        "authorized_official_first_name": "RIVKA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPERATOR/ASST ADMINISTRATOR",
        "authorized_official_telephone_number": "914-423-9800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5907310N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308714",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.