Active NPI
Bvrnc Operating LLC
Doing business as Sodus Rehabilitation & Nursing Center
- Skilled Nursing Facility
- Sodus, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5828301N
- 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, 2015
- 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
- Alexander Barth
- Title
- Member
- Phone
- (914) 597-7600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 8, 1973
- Medicare certification status
- Active
- Certified beds
- 130
- Chain
- Personal Healthcare Management
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 |
|---|---|---|---|
| 33D0901925 | Sodus Rehabilitation and Nursing Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Blossom View Nursing Home Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Sodus, NY
- NPI 1366445074
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Dec 31, 2020 | ||
| Adp of the SNF | Dec 31, 2020 | ||
| Adp of the SNF | Feb 4, 2025 | ||
| Indirect Ownership Interest | Sep 18, 2014 | ||
| Felix Oduwa | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Aug 12, 2025 | ||
| Adp of the SNF | Dec 31, 2020 | ||
| Yehudah Jay Walden | 5% Or Greater Direct Ownership Interest | Sep 18, 2014 | 15% |
| Ephraim D Zagelbaum | 5% Or Greater Direct Ownership Interest | Sep 18, 2014 | 50% |
| Alexander Barth | 5% Or Greater Direct Ownership Interest | Sep 18, 2014 | 35% |
| Corporate Officer | Feb 29, 2016 | ||
| Adp of the SNF | Feb 29, 2016 | ||
| Shaina Olton | Operational/Managerial Control | Feb 14, 2023 | |
| Adp of the SNF | Feb 14, 2023 | ||
| 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.
-
- Family Medicine Physician
- New Hartford, NY
- NPI 1265527493
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Sodus, NY
- NPI 1942211776
-
- Family Medicine Physician
- New Hartford, NY
- NPI 1265527493
-
- Geriatric Medicine (Internal Medicine) Physician
- Norwich, NY
- NPI 1346321254
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.