Active NPI
Sunharbor Manor
- Skilled Nursing Facility
- Roslyn Heights, NY
National Provider Identifier
1639127129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2951303N
- Legal business name
- SUNHARBOR MANOR
- Practice address
- 255 Warner Ave
Roslyn Heights, NY 11577-1000 - Phone
- (516) 621-6400
- NPI assigned
- May 5, 2006
- 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
- Mr. Israel Sherman
- Title
- Member
- Phone
- (516) 621-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2951303N | NY | Primary |
Addresses
Primary practice location
255 Warner Ave
Roslyn Heights, NY 11577-1000
Mailing address
255 Warner Ave
Roslyn Heights, NY 11577-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060804000166 | NY | Part A Provider - Skilled Nursing Facility | 6305849696 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Roslyn HTS, NY |
Skilled nursing facility certification: CCN 335559
- Legal name
- SUNHARBOR ACQUISITION I LLC
- Doing business as
- SUNHARBOR MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home โ SNF/NF dual certification
- Participating since
- Jul 15, 1975
- Last certification
- Mar 21, 2024
- Beds
- 266
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Mar 28, 2006
- Organization structure
- LLC
- Incorporated
- Mar 27, 2006 in NY
- Enrollment address
- 255 Warner Ave
Roslyn HTS, NY 11577-1000 - Nursing home name
- SUNHARBOR MANOR
- Affiliated entity
- THE SHERMAN FAMILY
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Sunharbor Manor LLC
- Skilled Nursing Facility
- Roslyn Heights, NY
- NPI 1346249216
O20060804000166
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sunharbor Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 15, 1975
- Medicare certification status
- Active
- Certified beds
- 266
- Chain
- The Sherman Family
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Samuel Sherman | 5% Or Greater Direct Ownership Interest | Oct 1, 2011 | 50% |
| Operational/Managerial Control | Mar 28, 2008 | ||
| Israel Sherman | 5% Or Greater Direct Ownership Interest | Mar 27, 2006 | 50% |
| Elliot Aryeh | W-2 Managing Employee | Mar 5, 2010 |
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Mineola, NY
- NPI 1053375378
Nursing home
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Jamaica, NY
- NPI 1295170686
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639127129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 WARNER AVE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 WARNER AVE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771000",
"telephone_number": "516-621-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNHARBOR MANOR",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHERMAN",
"authorized_official_first_name": "ISRAEL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "516-621-6400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "2951303N",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.