NPIMap

Organization Active NPI

Carmel Richmond Nursing Home, Inc.

  • Skilled Nursing Facility
  • Staten Island, NY
National Provider Identifier
1023097698
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7004310N Issued in NY
Legal business name
CARMEL RICHMOND NURSING HOME, INC.
Practice address
88 Old Town Road
Staten Island, NY 10304
Phone
(718) 668-8500
Fax
(718) 987-5228
NPI assigned
Jan 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Annmarie Covone
Title
SRVP Cfo
Phone
(646) 633-4702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7004310N NY Primary

Addresses

Primary practice location

88 Old Town Road
Staten Island, NY 10304

Mailing address

88 Old Town Rd
Staten Island, NY 10304-4212
Phone (646) 633-4774

Other identifiers 2

IdentifierTypeStateIssuer
01383944MedicaidNY
00308690MedicaidNY

Other names 1

  • CARMEL RICHMOND HEALTH CARE AND REHABILITATION CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100120000007 NY Part A Provider - Skilled Nursing Facility 9335281997 Practice locations: Staten Island, NY

Skilled nursing facility certification: CCN 335455

Legal name
CARMEL RICHMOND NURSING HOME INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1976
Last certification
Aug 8, 2024
Beds
300
Ownership / control type
Nonprofit Corporation
Multi-facility organization
ArchCare
Organization structure
CorporationNon-profit
Enrollment address
88 Old Town Road
Staten Island, NY 10304-4212
Nursing home name
CARMEL RICHMOND HEALTHCARE AND REHABILITATION CENTER
Affiliated entity
ARCHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carmel Richmond Healthcare and Rehabilitation CentCCN 335455
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
Non profit - Corporation
Certified
Jan 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
300265.3 residents per day on average
Chain
Archcare7 facilities in the chain

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
33D0006423Carmel Richmond Nursing Home Inc88 Old Town Road, Staten Island, NY 10304Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Richard Park Individual Corporate Director Jan 2, 2024
William Whiston Individual Corporate Director Jan 2, 2024
Joseph Saporito Individual Corporate Director Jan 2, 2024
Tara a. Cortes Individual Corporate Director May 1, 2014
Rory Kelleher Individual Corporate Director Dec 8, 2009
Joseph P Lamorte Individual Corporate Director Jan 2, 2024
Frank J Serbaroli Individual Corporate Director Dec 8, 2009
Thomas J Fahey Individual Corporate Director May 1, 2014
Eric P Feldmann Individual Corporate Director May 1, 2014
Gina M Esposito Individual Operational/Managerial Control Jan 2, 2024
Adp of the SNF Feb 18, 2025
Annmarie Covone Individual Corporate Officer Apr 4, 2019
Operational/Managerial Control Jan 2, 2024
Cynthia Roberti Individual Corporate Director Jan 2, 2024
Thomas M O'Brien Individual Corporate Director Dec 8, 2009
Miguel a Tirado Individual Operational/Managerial Control Jan 2, 2024
Adp of the SNF Feb 18, 2025
Gemma Augustine Individual Operational/Managerial Control Jan 2, 2024
Patricia Tooker Individual Corporate Director Jan 2, 2024
Stephen J Bujno Individual Corporate Director Jan 2, 2024
John Cahill Individual Corporate Director Jan 2, 2024
Gerald T Sweeney Individual Corporate Director May 1, 2014
Catholic Health Care Systems Organization, New York, NY Operational/Managerial Control Dec 8, 2009
Leslie Kasergrande Individual Corporate Director Jan 2, 2024
Karen a Gray Individual Corporate Director Jan 2, 2024
Thomas E Alberto Individual Corporate Director May 1, 2014
John F Gleason Individual Corporate Director Jan 2, 2024
Scott Larue Individual Corporate Officer Apr 4, 2019
Operational/Managerial Control Jan 2, 2024
Kathryn K Rooney Individual Corporate Director May 1, 2014
Clarion E Johnson Individual Corporate Director Jan 2, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 8

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

Affiliated clinicians 6

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": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1023097698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 OLD TOWN RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044212",
            "telephone_number": "646-633-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 OLD TOWN ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10304",
            "telephone_number": "718-668-8500",
            "fax_number": "718-987-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL RICHMOND NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "COVONE",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_title_or_position": "SRVP CFO",
        "authorized_official_telephone_number": "646-633-4702"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7004310N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01383944",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308690",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARMEL RICHMOND HEALTH CARE AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.