Active NPI
New Sans Souci Nursing Home,LLC
- Skilled Nursing Facility
- Yonkers, NY
National Provider Identifier
1023005329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5907310N
- 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, 2020
- 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
- Rivka H Gelbtuch
- Title
- Operator/Asst Administrator
- Phone
- (914) 423-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00308714 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0718042 | Sans Souci Nursing Home LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- New Sans Souci Nursing Homellc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sans Souci Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Yonkers, NY
- NPI 1336377324
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": []
}
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- New York Ambulette Transport Inc
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- New York Dental,PC
- New York Dialysis Services, Inc. (FMS-Southern Westchester Dialysis Center)
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.