Orleans Community Health
Organization Active NPI Skilled Nursing Facility · Medina, NY
NPI 1043341563 · NPPES record last updated Oct 14, 2021
Key facts
- NPI
- 1043341563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ORLEANS COMMUNITY HEALTH
- Practice address
- 200 Ohio Street
Medina, NY 14103 - Phone
- (585) 798-2000
- Fax
- (585) 798-8107
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Marc Shurtz
- Title
- Ceo
- Phone
- (585) 798-8101
Owners & managing parties with NPI records 3
-
Richard S Elman, MD
-
Joseph M Misiti, M.D.
-
Dale W Sponaugle, MD
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 5
Practitioners 23
-
Elizabeth Gurnsey, FNP
-
Cheryl A Kast, PA
-
Jill E Klotzbach, N.P.
-
Stephanie Ann Murphy, FNP
-
Pamela Ann Eaton, ANP-C
-
Rebecca A Flynn, RPA-C
-
Robert Wayne Hodge, M.D.
-
Devon Huff, M.D.
-
Amanda Ann McDonald, RN FNP
-
Seth Mensah, M.D.
-
Joseph M Misiti, M.D.
-
Syed Hasan Raza, MD
-
Jeffrey John Schratz, M.D.
-
Michelle Renee Smith, FNP
-
Dale W Sponaugle, MD
-
Umber Waseem, M.D.
-
Leah Michelle Brenner, CPNP
Affiliated clinicians 3
-
Amandeep Pal, MD
-
David Stahl, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Medina Memorial Hospital SNF
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Aug 27, 1970
- Medicare certification status
- Active
- Certified beds
- 30 · 29.0 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Skilled nursing facility certification: CCN 335313
- Legal name
- ORLEANS COMMUNITY HEALTH
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 27, 1970
- Last certification
- May 24, 2024
- Beds
- 30
- Ownership / control type
- Other Nonprofit
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 1, 1909 in NY
- Enrollment address
- 200 Ohio St
Medina, NY 14103-1063 - Nursing home name
- MEDINA MEMORIAL HOSPITAL SNF
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Dale W Sponaugle |
Corporate Officer |
Apr 1, 2016 | |
| Lance J Mark |
Corporate Director |
Apr 1, 2019 | |
| Marc Shurtz |
Corporate Officer |
Jul 29, 2020 | |
| David G Monti |
Corporate Officer | Nov 5, 2010 | |
| Lori Condo |
W-2 Managing Employee |
Nov 19, 1999 | |
| Kevin Foley |
Corporate Director |
Apr 1, 2016 | |
| Lynn Johnson |
Corporate Director |
Apr 1, 2016 | |
| April McGaffick |
Corporate Officer | Mar 12, 2013 | |
| Joseph M Misiti |
Corporate Director |
Apr 1, 2016 | |
| Cynthia Hewitt |
Corporate Officer | Nov 5, 2010 | |
| Dawn Meland |
Corporate Officer | Nov 5, 2010 | |
| Shannon Blount |
Corporate Officer |
Apr 1, 2016 | |
| Richard Steven Elman |
Corporate Director |
Apr 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041104000240 | NY | Part a Provider - Skilled Nursing Facility | 7315857018 | Practice locations: Medina, NY |
National Provider Directory
- Tax ID family
- Medina Memorial Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
200 Ohio Street
Medina, NY 14103
Mailing address
200 Ohio Street
Medina, NY 14103
Phone (585) 798-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3622700C | Other | NY | LICENSE |
Other names
- Medina Memorial Hospital
Other providers in Medina, NY
- Oak Orchard Community Health Center, Inc.
- Michele R Odrobina
- Omop LLC
- Orchard Manor Inc.
- Orleans Community Health
- Orleans Community Health
- Orleans Community Health
- Orleans Community Health
- Orleans Community Health
- Orleans Community Health
All providers in Medina, NY · Skilled Nursing Facility in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.