FAIRPORT SNF LLC
NPI 1881435576
Skilled Nursing Facility in Fairport, NY

Active since June 05, 2024CLIA 33D0171847 · Waiver
4646 FAIRPORT NINE MILE PT RD, FAIRPORT, NY 14450(585) 377-0350(585) 377-2620 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fairport Snf Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRPORT SNF LLC (NPI 1881435576) is a healthcare organization registered as a skilled nursing facility in Fairport, New York and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Eliezer Zelman, Authorized Member, as its authorized official.

NPPES Registry Identity

NPI1881435576
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFAIRPORT SNF LLC
Location Address4646 FAIRPORT NINE MILE PT RDFairport, NY 14450-1163
Mailing Address4646 Fairport Nine Mile Pt RdFairport, NY 14450-1163 · (585) 377-0350 · Fax (585) 377-2620
Fax(585) 377-2620
Organization SubpartNo
Authorized OfficialEliezer ZelmanAuthorized Member · (845) 490-6060
Enumeration DateJune 5, 2024
NPPES CertifiedJune 5, 2024
NPI 1881435576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

4646 FAIRPORT NINE MILE PT RD, Fairport, NY 14450

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0171847

Fairport Skilled Nursing And Rehab · Fairport, NY
Active · expires Mar 26, 2027
CLIA Number33D0171847
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 30, 2006
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Yehuda L. Nussbaum
Laboratory Phone(585) 377-0350
Laboratory LocationFairport Skilled Nursing And Rehab4646 Nine Mile Point Rd, Fairport, NY 14450
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Occupational Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Occupational Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Physical Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Occupational Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Occupational Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Physical Therapist
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450
Family Medicine
4646 FAIRPORT NINE MILE PT RD
FAIRPORT, NY 14450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairport Snf LLC's NPI number?

The NPI number for Fairport Snf LLC is 1881435576. It was assigned to this organization in the NPPES registry on June 5, 2024.

Where is Fairport Snf LLC located?

Fairport Snf LLC is located at 4646 Fairport Nine Mile Pt Rd, Fairport, NY 14450. The listed phone number is (585) 377-0350.

What is Fairport Snf LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Fairport Snf LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0171847) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairport Snf LLC was last updated on June 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.