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Organization

Bonnie

NPI Record: ActiveSkilled Nursing Facility
NPI1871850107
Perry, New York

Provider's NPPES record last updated: April 11, 2012

Overview

Entity Type
Organization
NPI
1871850107
Primary Specialty
Skilled Nursing Facility
Practice Location
Perry, New York
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:09 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Skilled Nursing Facility

    Nursing & Custodial Care Facilities

    Primary

    (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.

    Taxonomy code 314000000X
  • Clinic/Center

    Ambulatory Surgical

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QA1903X
  • Alzheimer Center (Dementia Center)

    Nursing & Custodial Care Facilities

    A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

    Taxonomy code 311500000X
  • Custodial Care Facility

    Adult Care Home

    Nursing & Custodial Care Facilities

    A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

    Taxonomy code 311ZA0620X
  • Hospice, Inpatient

    Nursing & Custodial Care Facilities

    A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.

    Taxonomy code 315D00000X

Provider-Reported License Information

Skilled Nursing Facility (New York)
142765-1
Clinic/Center (New York)
142765-1
Alzheimer Center (Dementia Center) (New York)
142765-1
Custodial Care Facility (New York)
142765-1
Hospice, Inpatient (New York)
142765
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

122 Main St N

Perry, New York 14530-1217

Phone: (585) 969-2966

Record Information

Enumeration Date
April 11, 2012
Provider's NPPES Record Last Updated
April 11, 2012
NPISignal NPPES Dataset
August 2026

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