Active NPI
Absolut Center for Nursing and Rehabilitation at Dunkirk, LLC
- Skilled Nursing Facility
- Dunkirk, NY
National Provider Identifier
1063549889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0601303N
- Legal business name
- ABSOLUT CENTER FOR NURSING AND REHABILITATION AT DUNKIRK, LLC
- Practice address
- 447 Lake Shore Dr W
Dunkirk, NY 14048-1479 - Phone
- (716) 366-6710
- Fax
- (716) 366-7116
- NPI assigned
- Feb 28, 2007
- 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. Israel Sherman
- Title
- Managing Member
- Phone
- (716) 652-2820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0601303N | NY | Primary |
Addresses
Primary practice location
447 Lake Shore Dr W
Dunkirk, NY 14048-1479
Mailing address
300 Gleed Ave
East Aurora, NY 14052-2980
Phone (716) 652-2820
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000308002 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 00011474602 | Other | NY | UNIVERA/EXCELLUS |
| 01058759 | Medicaid | NY | |
| 4U | Other | NY | INDEPENDENT HEALTH |
| 7100362 | Other | NY | UNITED HEALTHCARE |
| 7100288 | Other | NY | EVERCARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421971200000",
"number": "1063549889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 GLEED AVE",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140522980",
"telephone_number": "716-652-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 LAKE SHORE DR W",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140481479",
"telephone_number": "716-366-6710",
"fax_number": "716-366-7116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABSOLUT CENTER FOR NURSING AND REHABILITATION AT DUNKIRK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2015-01-23",
"status": "A",
"authorized_official_last_name": "SHERMAN",
"authorized_official_first_name": "ISRAEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "716-652-2820",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "0601303N",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000000308002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA/EXCELLUS",
"identifier": "00011474602",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01058759",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "4U",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "7100362",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "7100288",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.