MEDICARE: EDRNC OPERATING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1902523434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDRNC OPERATING LLC

Provider Business Mailing Address
First Line	:	2806 GEORGE ST
Second Line	:
City	:	EDEN
State	:	NY
Zip	:	14057-1205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2806 GEORGE ST
Second Line	:
City	:	EDEN
State	:	NY
Zip	:	14057-1205
Country	:	US
Telephone Number	:	716-992-3987
Fax Number	:

Authorized Official
Title or Position	:	FINANCE
Name	:	ABE MOSTOFSKY
Credential	:
Telephone Number	:	347-832-6899

Provider Enumeration Date	:	10/25/2022
Last Update Date	:	12/24/2024

Similar Medicare Providers

1932146933 — ARBOR PARK HEALTH CARE CENTER, INC
Practice Location Address:

2806 GEORGE ST
EDEN, NY
14057-1205

Practice Phone: 716-992-3987
Practice Fax: 716-992-2281

1508993320 — ABSOLUT CENTER FOR NURSING AND REHABILITATION AT EDEN, LLC
Practice Location Address:

2806 GEORGE ST
EDEN, NY
14057-1205

Practice Phone: 716-992-3987
Practice Fax: 716-992-2281

1053074195 — MS. SHANNA MICHELLE KRUGOLETS CCC-SLP
Practice Location Address:

2806 GEORGE ST
EDEN, NY
14057-1205

Practice Phone: 716-366-6710
Practice Fax:

1922095355 — DR. PETER JOHN DEMARCO JR. DDS
Practice Location Address:

3122 KULP RD.
EDEN, NY
14057

Practice Phone: 716-575-4108
Practice Fax:

1083677231 — DR. KEVIN N. O'GORMAN M.D.
Practice Location Address:

8600 DEPOT ST
EDEN, NY
14057-1343

Practice Phone: 716-992-4999
Practice Fax: 716-992-9132

1568410405 — DR. GLENN WILLIAM HORRIGAN DDS
Practice Location Address:

2553 W CHURCH ST
EDEN, NY
14057-1005

Practice Phone: 716-992-4215
Practice Fax:

Directions to “EDRNC OPERATING LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.