Organization Active NPI

Absolut Center for Nursing and Rehabilitation at Three Rivers, LLC

  • Skilled Nursing Facility
  • Painted Post, NY
National Provider Identifier
1619004439
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5026301N Issued in NY
Legal business name
ABSOLUT CENTER FOR NURSING AND REHABILITATION AT THREE RIVERS, LLC
Practice address
101 Creekside Dr
Painted Post, NY 14870-9208
Phone
(607) 936-4108
Fax
(607) 936-3641
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Mr. Israel Sherman
Title
Managing Member
Phone
(716) 652-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5026301N NY Primary

Addresses

Primary practice location

101 Creekside Dr
Painted Post, NY 14870-9208

Mailing address

300 Gleed Ave
East Aurora, NY 14052-2980
Phone (716) 687-2833

Other identifiers 3

IdentifierTypeStateIssuer
00030051002OtherNYEXCELLUS/RMSCO
00705362MedicaidNY
7100412OtherNYUNITED HEALTHCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://urldefense.com/v3/__https:/esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service__;!!FxBh9b0Dhg!YNotywZTQPco5y2YH7CAn8wZy0i1ML5ZmZIiOGVTb0SyRowZCFpsAtBlzL-QcKJNaAltZDIuQMBfPiPbhbW77CgYe44hv0U$ Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070510000387 NY Part A Provider - Skilled Nursing Facility 0840396669 Practice locations: Painted Post, NY

Skilled nursing facility certification: CCN 335652

Legal name
ABSOLUT CENTER FOR NURSING AND REHABILITATION AT THREE RIVERS, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 20, 1982
Last certification
Feb 28, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jun 7, 2007
Organization structure
LLCProprietary
Incorporated
May 29, 2007 in NY
Enrollment address
101 Creekside Dr
Painted Post, NY 14870-9208
Nursing home name
ABSOLUT CENTER FOR NURSING AND REHABILITATION AT THREE RIVERS, LLC
Affiliated entity
ABSOLUT CARE

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Absolut Facilities Management, LLC Organization, East Aurora, NY Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 7, 2007 54%
Samuel Sherman Individual Limited Partnership Interest Jun 7, 2007 1%
Israel Sherman Individual 5% Or Greater Direct Ownership Interest Jun 7, 2007 45%
Ralph Rosso Individual Corporate OfficerChief Financial Officer Jan 1, 2024
Kris Schiek Individual W-2 Managing EmployeeAdministrator Jun 21, 2018 100%

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Absolut Center for Nursing and Rehabilitation at TCCN 335652
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 20, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120102.9 residents per day on average
Chain
Absolut Care5 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
33D0668781Absolut Center for Nursing & Rehabilitation at101 Creekside Drive, Painted Post, NY 14870Certificate of waiverMar 26, 2027

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1619004439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GLEED AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522980",
            "telephone_number": "716-687-2833",
            "fax_number": "716-687-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CREEKSIDE DR",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148709208",
            "telephone_number": "607-936-4108",
            "fax_number": "607-936-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUT CENTER FOR NURSING AND REHABILITATION AT THREE RIVERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "716-652-2820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5026301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS/RMSCO",
            "identifier": "00030051002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00705362",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "7100412",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://urldefense.com/v3/__https:/esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service__;!!FxBh9b0Dhg!YNotywZTQPco5y2YH7CAn8wZy0i1ML5ZmZIiOGVTb0SyRowZCFpsAtBlzL-QcKJNaAltZDIuQMBfPiPbhbW77CgYe44hv0U$",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Painted Post, NY

Sources for this page

Verify at the official NPI Registry.