Organization
ABSOLUT CENTER FOR NURSING AND REHABILITATION AT GASPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL SHERMAN (MANAGING MEMBER)
(716) 652-2820
Entity
Organization
Contact information
Practice address
4540 LINCOLN DR, GASPORT, NY 14067-9212
(716) 772-2631
(716) 772-2054
Mailing address
300 GLEED AVE, EAST AURORA, NY 14052-2980
(716) 652-2820
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3158302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000254002
BLUE CROSS/BLUE SHIELD
NY
01
—
00011428902
UNIVERA/EXCELLUS
NY
05
—
01514718
—
NY
01
—
6V
FAMILY CHOICE SKILLED
NY
01
—
7100369
UNITED HEALTHCARE
NY
01
—
W4
FAMILY CHOICE SUBACUTE
NY
Enumeration date
02/28/2007
Last updated
10/28/2024
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