NPIMap

Organization Active NPI

Harris Hill Nursing Facility, LLC

  • Skilled Nursing Facility
  • Williamsville, NY
National Provider Identifier
1013904283
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1406301N Issued in NY
Legal business name
HARRIS HILL NURSING FACILITY, LLC
Practice address
2699 Wehrle Dr
Williamsville, NY 14221-7332
Phone
(716) 632-3700
Fax
(716) 632-5083
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Mr. Ralph Rosso
Title
Cfo
Phone
(716) 829-1554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1406301N NY Primary

Addresses

Primary practice location

2699 Wehrle Dr
Williamsville, NY 14221-7332

Mailing address

2699 Wehrle Dr
Williamsville, NY 14221-7332
Phone (716) 632-3700

Other identifiers 1

IdentifierTypeStateIssuer
01323793MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://urldefense.com/v3/__https:/esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service__;!!FxBh9b0Dhg!YNotywZTQPco5y2YH7CAn8wZy0i1ML5ZmZIiOGVTb0SyRowZCFpsAtBlzL-QcKJNaAltZDIuQMBfPiPbhbW77CgYe44hv0U$ Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000383 NY Part A Provider - Skilled Nursing Facility 3678487493 Practice locations: Williamsville, NY
O20061024000574 NY Part B Supplier - Clinic/Group Practice 3678487493 Receives reassigned benefits from 2 practitioners
Practice locations: Williamsville, NY

Skilled nursing facility certification: CCN 335757

Legal name
HARRIS HILL NURSING FACILITY, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 8, 1992
Last certification
Jun 28, 2024
Beds
192
Ownership / control type
Corporation
Multi-facility organization
The McGuire Group
Organization structure
LLCProprietary
Enrollment address
2699 Wehrle Dr
Williamsville, NY 14221-7332
Nursing home name
HARRIS HILL NURSING FACILITY, L L C
Affiliated entity
THE MCGUIRE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harris Hill Nursing Facility, L L CCCN 335757
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 8, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
192182.8 residents per day on average
Chain
The McGuire Group6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Susan Grigg Individual Corporate OfficerCeo Jan 1, 2024 100%
Operational/Managerial Control Jan 1, 2025
Vestra SPV1 LLC Organization, Hempstead, NY Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 23, 2020 50%
Ralph Rosso Individual Corporate OfficerCfo Jan 1, 2024 100%
Tom Phan Individual Corporate OfficerQuality Assurance Jan 1, 2024 100%
Orly Lieberman Individual 5% Or Greater Indirect Ownership Interest Dec 23, 2020 100%
Edward Oscar Farbenblum Individual 5% Or Greater Indirect Ownership Interest Dec 23, 2020 100%
Operational/Managerial ControlManaging Member Dec 23, 2020 99.5%
Vestra SPV2 LLC Organization, Hempstead, NY Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 23, 2020 50%

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

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": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1013904283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 WEHRLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217332",
            "telephone_number": "716-632-3700",
            "fax_number": "716-632-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 WEHRLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217332",
            "telephone_number": "716-632-3700",
            "fax_number": "716-632-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS HILL NURSING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "ROSSO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-829-1554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1406301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01323793",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://urldefense.com/v3/__https:/esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service__;!!FxBh9b0Dhg!YNotywZTQPco5y2YH7CAn8wZy0i1ML5ZmZIiOGVTb0SyRowZCFpsAtBlzL-QcKJNaAltZDIuQMBfPiPbhbW77CgYe44hv0U$",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.