Provider Demographics
NPI:1851154595
Name:MARCHAND AT SHARON SPRINGS, LLC
Entity Type:Organization
Organization Name:MARCHAND AT SHARON SPRINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EILI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAGANOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-393-7145
Mailing Address - Street 1:121 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHARON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:13459-3144
Mailing Address - Country:US
Mailing Address - Phone:518-284-2357
Mailing Address - Fax:518-284-9207
Practice Address - Street 1:121 MAIN ST
Practice Address - Street 2:
Practice Address - City:SHARON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:13459-3144
Practice Address - Country:US
Practice Address - Phone:518-284-2357
Practice Address - Fax:518-284-9207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility