Organization Active NPI

McAuley Residence

  • Skilled Nursing Facility
  • Kenmore, NY
National Provider Identifier
1013903657
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1404000N Issued in NY
Legal business name
MCAULEY RESIDENCE
Practice address
1503 Military Rd
Kenmore, NY 14217-1339
Phone
(716) 447-6600
NPI assigned
Sep 20, 2005
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
David P Macholz
Title
Chief Financial Officer
Phone
(716) 828-2974

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 1404000N NY
Skilled Nursing Facility 314000000X 1404000N NY Primary

Addresses

Primary practice location

1503 Military Rd
Kenmore, NY 14217-1339

Mailing address

1503 Military Rd
Kenmore, NY 14217-1339
Phone (716) 447-6600

Other identifiers 5

IdentifierTypeStateIssuer
00475287MedicaidNY
00011427302OtherNYUNIVERA
141OtherNYHEALTHNOW
57OtherNYIHA
V9OtherNYIHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000051 NY Part A Provider - Skilled Nursing Facility 0648183327 Practice locations: Kenmore, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013903657. Details of each certification follow.

Skilled nursing facility certification: CCN 335433

Legal name
MCAULEY RESIDENCE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 23, 1974
Last certification
Jan 8, 2025
Beds
160
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 23, 1992 in NY
Enrollment address
1503 Military Rd
Kenmore, NY 14217-1339
Nursing home name
MCAULEY RESIDENCE

Care Compare: Nursing home

Medicare Care Compare
Listed as
McAuley ResidenceCCN 335433 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 23, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160139.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0170404McAuley Residence1503 Military Road, Kenmore, NY 14217Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
David P Macholz Individual Corporate OfficerBoard Member Jan 1, 2020
Joyce Markiewicz Individual Corporate OfficerPresident & Chain Home Officer Sep 1, 2023
Managing Control - Governing BodyBoard Officer Mar 1, 2015
Alexis Agnello Individual Corporate DirectorBoard Member Jan 1, 2020
Robert E Zapfel Individual Corporate DirectorBoard Member Jan 1, 2020
Russell Edwards Individual Corporate OfficerBoard Member Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
Brian D Snyder Individual Operational/Managerial Control Jun 15, 2015
Adp of the SNF Jun 30, 2025
Leonardo Sette-Camara Individual Corporate DirectorBoard Member Jan 1, 2020
John R Durno Individual Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jul 17, 2025
Thomas Gleason Individual Corporate DirectorBoard Member Jan 1, 2020
Operational/Managerial Control Jan 1, 2020

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1013903657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 MILITARY RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171339",
            "telephone_number": "716-447-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 MILITARY RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171339",
            "telephone_number": "716-447-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCAULEY RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "MACHOLZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "716-828-2974"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "1404000N",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1404000N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00475287",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011427302",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "141",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "57",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "V9",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

Verify at the official NPI Registry.