Organization Active NPI

Absolut Center for Nursing and Rehabilitation at Salamanca, LLC

  • Skilled Nursing Facility
  • Salamanca, NY
National Provider Identifier
1144357963
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0433303N Issued in NY
Legal business name
ABSOLUT CENTER FOR NURSING AND REHABILITATION AT SALAMANCA, LLC
Practice address
451 Broad St
Salamanca, NY 14779-1424
Phone
(716) 945-1800
Fax
(716) 945-5867
NPI assigned
Feb 28, 2007
Last updated
Sep 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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 0433303N NY Primary

Addresses

Primary practice location

451 Broad St
Salamanca, NY 14779-1424

Mailing address

300 Gleed Ave
East Aurora, NY 14052-2980
Phone (716) 652-2820

Other identifiers 7

IdentifierTypeStateIssuer
0001473902OtherNYUNIVERA/EXCELLUS
335534OtherNYMEDICARE PROVIDER
01660902MedicaidNY
7100368OtherNYUNITED HEALTHCARE
8UOtherNYINDEPENDENT HEALTH
000000340002OtherNYBLUE CROSS/BLUE SHIELD
BA1016OtherNYUPSTATE MEDICARE CARRIER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1410480000000",
    "number": "1144357963",
    "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": "451 BROAD ST",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791424",
            "telephone_number": "716-945-1800",
            "fax_number": "716-945-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUT CENTER FOR NURSING AND REHABILITATION AT SALAMANCA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2014-09-12",
        "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": "0433303N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA/EXCELLUS",
            "identifier": "0001473902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "335534",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01660902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "7100368",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8U",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000340002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPSTATE MEDICARE CARRIER",
            "identifier": "BA1016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salamanca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.