Organization Active NPI

VS Servicer at Fishkill, LLC

Doing business as Taconic Rehabilitation and Nursing at Hopewell

  • Skilled Nursing Facility
  • Fishkill, NY
National Provider Identifier
1073247987
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VS SERVICER AT FISHKILL, LLC
Doing business as
Taconic Rehabilitation and Nursing at Hopewell
Practice address
3 Summit CT
Fishkill, NY 12524-1334
Phone
(845) 896-1500
Fax
(845) 896-1531
NPI assigned
Jul 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Mr. Michael Farbenblum
Title
Owner
Phone
(716) 826-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3 Summit CT
Fishkill, NY 12524-1334

Mailing address

455 Cayuga Rd Ste 200
Cheektowaga, NY 14225-1300
Phone (716) 829-1957

Other names 1

  • Taconic Rehabilitation and Nursing at Hopewell Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://urldefense.com/v3/__https:/esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service__;!!FxBh9b0Dhg!YNotywZTQPco5y2YH7CAn8wZy0i1ML5ZmZIiOGVTb0SyRowZCFpsAtBlzL-QcKJNaAltZDIuQMBfPiPbhbW77CgYe44hv0U$ Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220825002419 NY Part A Provider - Skilled Nursing Facility 0345624326 Practice locations: Fishkill, NY

Skilled nursing facility certification: CCN 335789

Legal name
VS SERVICER AT FISHKILL LLC
Doing business as
TACONIC REHABILITATION AND NURSING AT HOPEWELL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 12, 1995
Last certification
May 8, 2023
Beds
160
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 22, 2021 in NY
Enrollment address
3 Summit CT
Fishkill, NY 12524-1334
Nursing home name
TACONIC REHABILITATION AND NURSING AT HOPEWELL

Care Compare: Nursing home

Medicare Care Compare
Listed as
Taconic Rehabilitation And Nursing At HopewellCCN 335789 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 12, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160142.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
33D0903188Taconic Rehabilitation & Nursing at Hopewell3 Summit Court, Fishkill, NY 12524Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

455 Cayuga Rd
Ste 200
Cheektowaga, NY 14225

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephen M Eaton Mercurio Individual 5% Or Greater Direct Ownership Interest Nov 22, 2021 50%
Operational/Managerial ControlOwner Jul 13, 2022 50%
Michael Mazur Individual Corporate DirectorController, Interim Cfo Jul 13, 2022
W-2 Managing EmployeeController, Interim Cfo Jul 13, 2022
Michael Farbenblum Individual 5% Or Greater Direct Ownership Interest Nov 22, 2021 50%
Operational/Managerial ControlOwner Jul 13, 2022 50%

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1073247987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 CAYUGA RD STE 200",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251300",
            "telephone_number": "716-829-1957",
            "fax_number": "716-634-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SUMMIT CT",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241334",
            "telephone_number": "845-896-1500",
            "fax_number": "845-896-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VS SERVICER AT FISHKILL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "FARBENBLUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-826-2010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://urldefense.com/v3/__https:/esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service__;!!FxBh9b0Dhg!YNotywZTQPco5y2YH7CAn8wZy0i1ML5ZmZIiOGVTb0SyRowZCFpsAtBlzL-QcKJNaAltZDIuQMBfPiPbhbW77CgYe44hv0U$",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Taconic Rehabilitation and Nursing at Hopewell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Taconic Rehabilitation and Nursing at Hopewell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.