Sheridan Manor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1403303N Issued in NY

Legal business name

SHERIDAN MANOR LLC

Practice address

2799 Sheridan Dr
Tonawanda, NY 14150-9463

Phone

(716) 837-4466

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

David G Rosner

Title

Cfo

Phone

(716) 633-2961

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1336246040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 S UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509463",
            "telephone_number": "716-837-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "ROSNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-633-2961"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1403303N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01032897",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Sheffield
• Marie A. Shephard-Wierbicki, RN
• Sarah Shepler
• Sheridan Drive Medical Group LLP
• Sheridan Family Dentistry PLLC
• Lawrence M Sherman, M.D.
• Hnade Shhade
• David Shubert, RPH, PH.D.
• Amy Ludwig Shuman, PHD
• Michael Albert Shurmatz, MSW

• Skilled Nursing Facility in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.