Organization Active NPI

Bvrnc Operating LLC

Doing business as Sodus Rehabilitation & Nursing Center

  • Skilled Nursing Facility
  • Sodus, NY
National Provider Identifier
1285099523
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5828301N Issued in NY
Legal business name
BVRNC OPERATING LLC
Doing business as
Sodus Rehabilitation & Nursing Center
Practice address
6884 Maple Ave
Sodus, NY 14551-9303
Phone
(315) 483-9118
NPI assigned
Dec 30, 2015
Last updated
Dec 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Alexander Barth
Title
Member
Phone
(914) 597-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5828301N NY Primary

Addresses

Primary practice location

6884 Maple Ave
Sodus, NY 14551-9303

Mailing address

20 Wood CT
Tarrytown, NY 10591-3108
Phone (914) 597-7600

Other names 1

  • Sodus Rehabilitation & Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160317001245 NY Part A Provider - Skilled Nursing Facility 7719283795 Practice locations: Sodus, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285099523. Details of each certification follow.

Skilled nursing facility certification: CCN 335378

Legal name
BVRNC OPERATING LLC
Doing business as
SODUS REHABILITATION & NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 8, 1973
Last certification
Oct 11, 2024
Beds
130
Ownership / control type
Corporation
Multi-facility organization
Personal Healthcare
Most recent change of ownership
Feb 29, 2016
Organization structure
LLCProprietary
Incorporated
Sep 18, 2014 in NY
Enrollment address
6884 Maple Ave
Sodus, NY 14551-9303
Nursing home name
SODUS REHABILITATION & NURSING CENTER
Affiliated entity
PERSONAL HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sodus Rehabilitation & Nursing CenterCCN 335378 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 8, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130115.2 residents per day on average
Chain
Personal Healthcare Management21 facilities in the chain

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
33D0901925Sodus Rehabilitation and Nursing Center6884 Maple Ave, Sodus, NY 14551Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Blossom View Nursing Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Organization, Tarrytown, NY LLC Adp of the SNF Dec 31, 2020
Organization, Tarrytown, NY LLC Adp of the SNF Dec 31, 2020
Organization, Sodus, NY LLC Adp of the SNF Feb 4, 2025
Indirect Ownership Interest Sep 18, 2014
Felix Oduwa Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Aug 12, 2025
Organization, Tarrytown, NY LLC Adp of the SNF Dec 31, 2020
Yehudah Jay Walden Individual 5% Or Greater Direct Ownership InterestMember Sep 18, 2014 15%
Ephraim D Zagelbaum Individual 5% Or Greater Direct Ownership InterestManaging Member Sep 18, 2014 50%
Alexander Barth Individual 5% Or Greater Direct Ownership InterestMember Sep 18, 2014 35%
Corporate OfficerCoo Feb 29, 2016
Adp of the SNF Feb 29, 2016
Shaina Olton Individual Operational/Managerial Control Feb 14, 2023
Adp of the SNF Feb 14, 2023
Individual Adp of the SNF Dec 31, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 3

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": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1285099523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WOOD CT",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913108",
            "telephone_number": "914-597-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6884 MAPLE AVE",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145519303",
            "telephone_number": "315-483-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BVRNC OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "BARTH",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "914-597-7600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5828301N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sodus Rehabilitation & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sodus, NY

Sources for this page

Verify at the official NPI Registry.