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Contact Information

ABSOLUT CENTER FOR NURSING AND REHABILITATION AT GASPORT, LLC
4540 LINCOLN DR
GASPORT, NY14067-9212
 Phone: 716-772-2631
 Fax: 716-772-2054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for ABSOLUT CENTER FOR NURSING AND REHABILITATION AT GASPORT, LLC

NPI Number 1417084237
LBN Legal business name ABSOLUT CENTER FOR NURSING AND REHABILITATION AT GASPORT, LLC
Authorized official ISRAEL SHERMAN - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2007
Last updated 10/28/2024 - More than a year ago
Identifiers
NY License # 3158302N
NY Medicaid 01514718
NY Other 000000254002 BLUE CROSS/BLUE SHIELD
NY Other 6V FAMILY CHOICE SKILLED
NY Other W4 FAMILY CHOICE SUBACUTE
NY Other 6V INDEPENDENT HEALTH
NY Other 7100369 UNITED HEALTHCARE
NY Other 00011428902 UNIVERA/EXCELLUS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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