Active NPI
VS Servicer at Fishkill, LLC
Doing business as Taconic Rehabilitation and Nursing at Hopewell
- Skilled Nursing Facility
- Fishkill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Hopewell
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 12, 1995
- Medicare certification status
- Active
- Certified beds
- 160
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 |
|---|---|---|---|
| 33D0903188 | Taconic Rehabilitation & Nursing at Hopewell | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Stephen M Eaton Mercurio | 5% Or Greater Direct Ownership Interest | Nov 22, 2021 | 50% |
| Operational/Managerial Control | Jul 13, 2022 | 50% | |
| Michael Mazur | Corporate Director | Jul 13, 2022 | |
| W-2 Managing Employee | Jul 13, 2022 | ||
| Michael Farbenblum | 5% Or Greater Direct Ownership Interest | Nov 22, 2021 | 50% |
| Operational/Managerial Control | 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.
-
- Internal Medicine Physician
- Newburgh, NY
- NPI 1437239068
-
- Hospitalist Physician
- Cortlandt Manor, NY
- NPI 1548557242
-
- Geriatric Medicine (Family Medicine) Physician
- Fishkill, NY
- NPI 1053341586
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.