Provider Demographics
NPI:1881721611
Name:ABSOLUT CENTER FOR NURSING AND REHABILITATION AT ALLEGANY, LLC
Entity type:Organization
Organization Name:ABSOLUT CENTER FOR NURSING AND REHABILITATION AT ALLEGANY, 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 1:2178 N 5TH ST
Practice Address - Street 2:
Practice Address - City:ALLEGANY
Practice Address - State:NY
Practice Address - Zip Code:14706-1138
Practice Address - Country:US
Practice Address - Phone:716-373-2238
Practice Address - Fax:716-373-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0420302N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3UOtherINDEPENDENT HEALTH
NY02901531Medicaid
NY000000309002OtherBLUE CROSS/BLUE SHIELD
NY00030050802OtherUNIVERA/EXCELLUS
NY335610OtherMEDICARE PROVIDER
NY7100398OtherUNITED HEALTHCARE
NY00030050802OtherUNIVERA/EXCELLUS
NY335610001Medicare Oscar/Certification
NYRB7232Medicare PIN
NYRB3084Medicare PIN
NYRB6397Medicare PIN
NY000000309002OtherBLUE CROSS/BLUE SHIELD