Organization Active NPI

Absolut Center for Nursing and Rehabilitation at Dunkirk, LLC

  • Skilled Nursing Facility
  • Dunkirk, NY
National Provider Identifier
1063549889
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0601303N Issued in NY
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

Updated by the provider on Jan 23, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000308002OtherNYBLUE CROSS/BLUE SHIELD
00011474602OtherNYUNIVERA/EXCELLUS
01058759MedicaidNY
4UOtherNYINDEPENDENT HEALTH
7100362OtherNYUNITED HEALTHCARE
7100288OtherNYEVERCARE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.