NPIMap

Organization Active NPI

Grand Mohawk Valley LLC

  • Skilled Nursing Facility
  • Ilion, NY
National Provider Identifier
1033697883
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GRAND MOHAWK VALLEY LLC
Practice address
99 6TH Ave
Ilion, NY 13357-1527
Phone
(718) 215-6000
NPI assigned
Aug 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Mr. Jeremy B Strauss
Title
Ceo
Phone
(718) 215-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

99 6TH Ave
Ilion, NY 13357-1527

Mailing address

99 6TH Ave
Ilion, NY 13357-1527
Phone (315) 895-4050

Other names 1

  • The Grand Rehabilitation and Nursing at Mohawk Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180912000506 NY Part A Provider - Skilled Nursing Facility 6204186216 Practice locations: Ilion, NY

Skilled nursing facility certification: CCN 335386

Legal name
GRAND MOHAWK VALLEY LLC
Doing business as
THE GRAND REHABILITATION AND NURSING AT MOHAWK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 21, 1972
Last certification
Nov 7, 2023
Beds
120
Ownership / control type
Partnership
Organization structure
LLCProprietary
Incorporated
Aug 14, 2017 in NY
Enrollment address
99 6TH Ave
Ilion, NY 13357-1527
Nursing home name
THE GRAND REHABILITATION AND NURSING AT MOHAWK
Affiliated entity
THE GRAND HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Grand Rehabilitation and Nursing at MohawkCCN 335386
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Nov 21, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120114.9 residents per day on average
Chain
The Grand Healthcare16 facilities in the chain
Penalties (3 years)
2Fines totaling $17,604

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
33D2322763Grand Rehabilitation and Nursing at, the99 Sixth Ave, Ilion, NY 13357Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Meryl B Strauss Individual 5% Or Greater Direct Ownership Interest Aug 1, 2018 5%
Eric J Rogers Individual Corporate OfficerCfo/VP of Fiscal Affairs Aug 1, 2018 95%
W-2 Managing EmployeeCfo/VP of Fiscal Affairs Aug 1, 2018 95%
Operational/Managerial ControlCfo/VP of Fiscal Affairs Aug 1, 2018 5%
Jeremy Baruch Strauss Individual 5% Or Greater Direct Ownership Interest Aug 1, 2018 95%
Corporate OfficerCeo Aug 1, 2018 95%
Operational/Managerial ControlCeo Aug 1, 2018 95%

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 3

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": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1033697883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 6TH AVE",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571527",
            "telephone_number": "315-895-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 6TH AVE",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571527",
            "telephone_number": "718-215-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MOHAWK VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-215-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grand Rehabilitation and Nursing at Mohawk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ilion, NY

Sources for this page

Verify at the official NPI Registry.