Gerry Homes Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0658301N Issued in NY

Legal business name

GERRY HOMES INC

Doing business as

Heritage Green Rehab & Skilled Nursing

Practice address

3023 Route 430
Greenhurst, NY 14742-0400

Phone

(716) 483-5000

Fax

(716) 488-2414

NPI assigned

Jun 22, 2005

Last updated

Dec 5, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Haglund

Title

Ceo

Phone

(716) 483-5000

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Heritage Green Rehab & Skilled Nursing Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003812330. Details of each certification follow.

• CCN 335721 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335721

Legal name

GERRY HOMES INC

Doing business as

HERITAGE GREEN HEALTH CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 14, 1992

Last certification

Feb 1, 2024

Beds

134

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Gerry Homes

Organization structure

CorporationNon-profit

Incorporated

May 6, 1886 in NY

Enrollment address

3023 Route 430
Greenhurst, NY 14742-0400

Nursing home name

HERITAGE GREEN REHAB & SKILLED NURSING

Affiliated entity

HERITAGE MINISTRIES

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Gerry Homes Inc

  dba Heritage Park Rehab & Skilled Nursing

  • Skilled Nursing Facility
  • Jamestown, NY
  • NPI 1366448706

  9335130202

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Gerry Homes Inc

  dba Heritage Green Outpatient Therapy Clinic

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Greenhurst, NY
  • NPI 1912090184

  O20080116000039

  Same enrollment

Listed as

Heritage Green Rehab & Skilled NursingCCN 335721 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

May 14, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

134116.1 residents per day on average

Chain

Heritage Ministries3 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Albert Persia, M.D.

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1154310266

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Rolling Fields Inc

  • Skilled Nursing Facility
  • Conneautville, PA
  • NPI 1023004751

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Israr A Abbasi, MD

  • Psychiatry Physician
  • Lakewood, NY
  • NPI 1518925437
  NPD
• Cynthia Carlson, FNP

  • Family Nurse Practitioner
  • Dunkirk, NY
  • NPI 1285608844
  NPD
• Amy Sue Koers, ANP-BC

  • Adult Health Nurse Practitioner
  • Greenhurst, NY
  • NPI 1659777019
  NPD
• Janet Sue Merchant, FNP

  • Family Nurse Practitioner
  • Gerry, NY
  • NPI 1740702604
  NPD
• Michael D Mitchell, M.D.

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1922082197
  NPD
• Jessica L Thomas, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Gerry, NY
  • NPI 1205596947
  NPD
• Gina M Gazdak, CRNP

  • Adult Health Nurse Practitioner
  • Greenhurst, NY
  • NPI 1154310407
  NPD (past)
• John Michael Lamancuso, MD, FACP

  • Internal Medicine Physician
  • Jamestown, NY
  • NPI 1861436719
  NPD (past)
• Albert Persia, M.D.

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1154310266
  NPD (past)
• Alexander Z Selioutski, M.D.

  • Family Medicine Physician
  • Mayville, NY
  • NPI 1851360606
  NPD (past)
• Stephanie Ann Heath, FNP

  • Family Nurse Practitioner
  • State Farm, VA
  • NPI 1861458473
  NPD (past)
• Carol Lynne Nelson, FNP

  • Family Nurse Practitioner
  • Cleveland, OH
  • NPI 1114093069
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Albert Persia, M.D.

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1154310266

  Nursing home

  Care Compare affiliation
• Alexander Z Selioutski, M.D.

  • Family Medicine Physician
  • Mayville, NY
  • NPI 1851360606

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1003812330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "GERRY",
            "state": "NY",
            "postal_code": "147400365",
            "telephone_number": "716-985-6812",
            "fax_number": "716-985-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 ROUTE 430",
            "city": "GREENHURST",
            "state": "NY",
            "postal_code": "147420400",
            "telephone_number": "716-483-5000",
            "fax_number": "716-488-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERRY HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "HAGLUND",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-483-5000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0658301N",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01520350",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR CHOICE",
            "identifier": "00011450401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "335721",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Green Rehab & Skilled Nursing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Green Rehab & Skilled Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nissa Bland, RN
• Karen I Bower, PT
• Gina M Gazdak, CRNP
• Gerry Homes Inc (Heritage Green Outpatient Therapy Clinic)
• Heritage Green Health Care Center
• Alyssa J Johnson
• Amy Sue Koers, ANP-BC
• Angela Mary Mackowiak

• Skilled Nursing Facility in Greenhurst, NY
• Providers in Greenhurst, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.