Provider Demographics
NPI:1528195344
Name:ABSOLUT CENTER FOR NURSING AND REHABILITATION AT WESTFIELD, LLC
Entity Type:Organization
Organization Name:ABSOLUT CENTER FOR NURSING AND REHABILITATION AT WESTFIELD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-652-2820
Mailing Address - Street 1:300 GLEED AVE
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-2980
Mailing Address - Country:US
Mailing Address - Phone:716-652-2820
Mailing Address - Fax:
Practice Address - Street 1:26 CASS ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NY
Practice Address - Zip Code:14787-1113
Practice Address - Country:US
Practice Address - Phone:716-326-4646
Practice Address - Fax:716-326-4621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0675302N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7100364OtherUNITED HEALTHCARE
NY000000324002OtherBLUE CROSS/BLUE SHIELD
NY00901359Medicaid
NY00020470302OtherUNIVERA/EXCELLUS
NY7100287OtherEVERCARE
NY8WOtherINDEPENDENT HEALTH
NY335683Medicare Oscar/Certification
NY000000324002OtherBLUE CROSS/BLUE SHIELD
NY8WOtherINDEPENDENT HEALTH