Schofield Residence Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1404300N Issued in NY

Legal business name

SCHOFIELD RESIDENCE INC.

Doing business as

Schofield Residence - ADHCP

Practice address

3333 Elmwood Ave
Buffalo, NY 14217-1013

Phone

(716) 874-1566

Fax

(716) 874-6942

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Randy Gerlach

Title

President

Phone

(716) 874-1566

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Schofield Residence - ADHCP Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335603002

Legal name

SCHOFIELD RESIDENCE INC

Doing business as

SCHOFIELD ADULT DAY HEALTH CARE PROGRAM

Organization structure

CorporationNon-profit

Incorporated

Mar 10, 1915 in NY

Enrollment address

190 Fulton St
Buffalo, NY 14204-2359

Nursing home name

SCHOFIELD RESIDENCE

Other NPIs with the same Medicare PAC ID 2

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

• Schofield Residence Inc.

  • Home Health Agency
  • Kenmore, NY
  • NPI 1467875450

  6507806254

  Same PAC ID
• Schofield Residence Inc.

  • Skilled Nursing Facility
  • Buffalo, NY
  • NPI 1871553537

  6507806254

  Same PAC ID

Locations

All disclosed owners & managing parties 6

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.

• Teresa P Chau, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • North Tonawanda, NY
  • NPI 1841286747

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1003875048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171013",
            "telephone_number": "716-874-1566",
            "fax_number": "716-874-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142171013",
            "telephone_number": "716-874-1566",
            "fax_number": "716-874-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOFIELD RESIDENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "GERLACH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-874-1566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1404300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01008011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schofield Residence - ADHCP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schofield Residence - ADHCP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Schoelles, LPN
• Molly Schoemick
• Hayley Schoener
• Kyle Joseph Schoenhals, PHARMD.
• Michael Schoenwetter, LCSW R
• Schofield Residence Inc.
• Grant Michael Schofield, M.D.
• Mary Schohn, PHD
• Lisa Scholl, PA
• Marylou Scholl

• Skilled Nursing Facility in Buffalo, NY
• Providers in Buffalo, 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 Mar 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.