Heritage Manor of Ransomville

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

2033L001 Issued in NY

Legal business name

HERITAGE MANOR OF RANSOMVILLE

Practice address

3509 Ransomville Rd
Ransomville, NY 14131-9602

Phone

(716) 791-4211

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Danny Zyskind

Title

Assistant Administrator

Phone

(716) 791-4211

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1740683226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 RANSOMVILLE RD",
            "city": "RANSOMVILLE",
            "state": "NY",
            "postal_code": "141319602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 RANSOMVILLE RD",
            "city": "RANSOMVILLE",
            "state": "NY",
            "postal_code": "141319602",
            "telephone_number": "716-791-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MANOR OF RANSOMVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "ZYSKIND",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "716-791-4211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NY",
            "license": "2033L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Chiropractic, PLLC (Ransomville Family Chiropractic)
• Kyle William Kenyon Clayton, DC
• Evelyn Marie Welch Cox, RN
• James J Degiulio, B.S.
• Nancy Lynne Graeff, RN
• Deanna J Ingraham
• Jacqueline M Leggett, RN
• Mary Ann Martinez, MT
• Vincent Glenn Micieli, PHARMD
• Taylor Ann Miller

• Assisted Living Facility (Mental Illness) in Ransomville, NY
• Providers in Ransomville, NY by specialty
• Assisted Living Facility (Mental Illness) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.