Sullivan Manor LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2607L001 Issued in NY

Legal business name

SULLIVAN MANOR LLC

Doing business as

Sullivan Gardens

Practice address

6319 State Route 97
Narrowsburg, NY 12764-5264

Phone

(917) 805-6446

NPI assigned

Oct 11, 2016

Last updated

Oct 11, 2016By 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

Brian Rosenman

Title

Owner

Phone

(917) 805-6446

Specialties & licenses 1

Addresses

Other names 1

• Sullivan Gardens Doing business as

Locations

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1487104659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 STATE ROUTE 97",
            "city": "NARROWSBURG",
            "state": "NY",
            "postal_code": "127645264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 STATE ROUTE 97",
            "city": "NARROWSBURG",
            "state": "NY",
            "postal_code": "127645264",
            "telephone_number": "917-805-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "ROSENMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-805-6446"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2607L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Narrowsburg Manor LLC
• Peters Pharmacy of Narrowsburg
• Colin Anthony Peters Sr., R.PH.
• Colleen Clarke Rizzo, MHS OTR/L
• Thomas Scott Rue, M.A., LMHC, CASAC
• Tusten Volunteer Ambulance Service, Inc.

• Home Health Agency in Narrowsburg, NY
• Providers in Narrowsburg, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.