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Wellsville Manor LLC

Nursing Facility/Intermediate Care Facility in Wellsville, NY · enumerated 2005 · authorized official Jonathan Gewirtz, Manager, Fiscal Oversight.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225019029

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Registry record

Entity type Organization (Type 2)
Legal business name Wellsville Manor LLC
Other name <Unavail>
Practice address 4192a Bolivar Rd, Wellsville, NY, 14895
Phone (585) 593-4400
Fax (585) 593-4418
Enumeration date Nov 9, 2005
Last updated in NPPES Sep 9, 2015

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Jonathan Gewirtz
Title Manager, Fiscal Oversight
Phone (914) 588-8379

Other identifiers

Identifier Type State Issuer
00752167 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-09-09. Verify at npiregistry.cms.hhs.gov.
Where is Wellsville Manor LLC located?
The practice location on file with NPPES is in Wellsville, NY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-09.