Active NPI
Sunset Nursing and Rehabilitation
- Skilled Nursing Facility
- Boonville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3221301N
- Legal business name
- SUNSET NURSING AND REHABILITATION
- Practice address
- 232 Academy St
232 Academy St
Boonville, NY 13309-1397 - Phone
- (315) 942-4301
- Fax
- (315) 942-5994
- NPI assigned
- Dec 6, 2005
- 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. Ralph Rosso
- Title
- Cfo
- Phone
- (716) 829-1554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3221301N | NY | Primary |
Addresses
Primary practice location
232 Academy St
232 Academy St
Boonville, NY 13309-1397
Mailing address
232 Academy St
232 Academy Street
Boonville, NY 13309-1397
Phone (315) 942-4301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00474406 | Medicaid | NY |
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 |
|---|---|---|---|---|
| O20111222000360 | NY | Part A Provider - Skilled Nursing Facility | 7911816442 | Practice locations: Boonville, NY |
Skilled nursing facility certification: CCN 335587
- Legal name
- SUNSET NURSING AND REHABILITATION
- Doing business as
- SUNSET NURSING AND REHABILITATION CENTER INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1977
- Last certification
- Nov 6, 2023
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Sunset Operating LLC
- Organization structure
- Corporation
- Incorporated
- Mar 24, 2003 in NY
- Enrollment address
- 232 Academy St
Boonville, NY 13309-1397 - Nursing home name
- SUNSET NURSING AND REHABILITATION CENTER, INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sunset Nursing and Rehabilitation Center, Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 1, 1977
- Medicare certification status
- Active
- Certified beds
- 120
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 33D0665366 | Sunset Nursing and Rehabilitation Center Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
232 Academy St
Boonville, NY 13309
Phone (315) 942-4301
Ownership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Joel Schwartz | 5% Or Greater Direct Ownership Interest | Feb 28, 2019 | 9.9% |
| Susan Grigg | 5% Or Greater Direct Ownership Interest | Mar 24, 2022 | 8.45% |
| Joseph Dimaria | Contracted Managing Employee | Jan 1, 2024 | |
| Anthony Depinto | 5% Or Greater Direct Ownership Interest | Mar 24, 2022 | 8.4% |
| Patrick McFeely | 5% Or Greater Direct Ownership Interest | Mar 24, 2022 | 8.4% |
| Andrea Czora | 5% Or Greater Direct Ownership Interest | Mar 24, 2022 | 8.4% |
| Aharon Bleier | 5% Or Greater Direct Ownership Interest | Feb 28, 2019 | 9.9% |
| Jamie B Ingham | 5% Or Greater Direct Ownership Interest | Mar 24, 2022 | 8.45% |
| Corporate Officer | May 2, 2019 | ||
| Ralph Rosso | Corporate Officer | Jan 1, 2024 | 100% |
| Orly Lieberman | 5% Or Greater Direct Ownership Interest | Feb 28, 2019 | 9.9% |
| Scott William West | 5% Or Greater Direct Ownership Interest | Mar 24, 2022 | 8.4% |
| Edward Oscar Farbenblum | 5% Or Greater Direct Ownership Interest | Feb 28, 2019 | 9.9% |
| Lisa R Bain | W-2 Managing Employee | Jan 1, 2024 | |
| Ryan M Wood | W-2 Managing Employee | Jun 6, 2022 | |
| Yehudah Newman | 5% Or Greater Direct Ownership Interest | Feb 28, 2019 | 9.9% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Utica, NY
- NPI 1952506230
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Utica, NY
- NPI 1871748020
-
- Family Medicine Physician
- Utica, NY
- NPI 1952506230
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1457679748
Affiliated clinicians 1
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": "1133827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1073597746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 ACADEMY ST",
"address_2": "232 ACADEMY STREET",
"city": "BOONVILLE",
"state": "NY",
"postal_code": "133091397",
"telephone_number": "315-942-4301",
"fax_number": "315-942-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 ACADEMY ST",
"address_2": "232 ACADEMY ST",
"city": "BOONVILLE",
"state": "NY",
"postal_code": "133091397",
"telephone_number": "315-942-4301",
"fax_number": "315-942-5994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSET NURSING AND REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-06",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "ROSSO",
"authorized_official_first_name": "RALPH",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "716-829-1554",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "3221301N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00474406",
"state": "NY"
}
],
"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": []
}
Other providers in Boonville, 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.