Stonehedge Aquisition Chittenango I, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2629302N Issued in NY

Legal business name

STONEHEDGE AQUISITION CHITTENANGO I, LLC

Practice address

331 Russell St
Chittenango, NY 13037-1201

Phone

(315) 687-7255

Fax

(315) 687-9169

NPI assigned

Oct 7, 2005

Last updated

Aug 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Zupnick

Title

Managing Partner

Phone

(845) 357-7666

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Laconia 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.

• Laconia Nursing Home Inc.

  • Skilled Nursing Facility
  • Bronx, NY
  • NPI 1457435877
  NPD tax ID

Locations

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1477541084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 RT 59",
            "address_2": "SUITE 409",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "10952",
            "telephone_number": "845-357-7666",
            "fax_number": "845-357-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 RUSSELL ST",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130371201",
            "telephone_number": "315-687-7255",
            "fax_number": "315-687-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHEDGE AQUISITION CHITTENANGO I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "ZUPNICK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "845-357-7666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2629302N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Sanfilippo, LICENSED SLP, MA-CCC
• Sarah Scholes M Sarah Scholes
• Sharon Schlueter, RN
• Alyssa Christine Shute, DPT
• Hannah Sidebottom
• Seth Lee Stucker, IDMT
• Kristina M. Tervo, D.O.
• Maria Thannhauser, DPT
• Sue Anne Thomas, MS, CCC, SLP
• Joyce Tibbett, DO

• Skilled Nursing Facility in Chittenango, NY
• Providers in Chittenango, 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 Aug 6, 2007; 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.