NPIMap

Organization Active NPI

Nathan Littauer Hospital Association

Doing business as Nathan Littauer Hospital and Nursing Home

  • Skilled Nursing Facility
  • Gloversville, NY
National Provider Identifier
1073541850
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1701000N Issued in NY
Legal business name
NATHAN LITTAUER HOSPITAL ASSOCIATION
Doing business as
Nathan Littauer Hospital and Nursing Home
Practice address
99 E State St
Gloversville, NY 12078
Phone
(518) 725-8621
Fax
(518) 775-4075
NPI assigned
Jun 29, 2006
Last updated
Dec 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Mr. Mike Ostrander
Title
VP Finance and Cfo
Phone
(518) 773-5480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1701000N NY Primary

Addresses

Primary practice location

99 E State St
Gloversville, NY 12078

Mailing address

99 E State St
Gloversville, NY 12078
Phone (518) 725-8621

Other identifiers 3

IdentifierTypeStateIssuer
7449324OtherNYAETNA
00018OtherNYBLUE CROSS
01212853MedicaidNY

Other names 1

  • Nathan Littauer Hospital and Nursing Home Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040413000599 NY Part B Supplier - Clinic/Group Practice 4183618101 Receives reassigned benefits from 102 practitioners
1 other NPI on this enrollment
Practice locations: Gloversville, NY
O20110808000222 NY Part A Provider - Skilled Nursing Facility 4183618101 Practice locations: Gloversville, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073541850. Details of each certification follow.

Skilled nursing facility certification: CCN 335351

Legal name
NATHAN LITTAUER HOSPITAL ASSOCIATION
Doing business as
NATHAN LITTAUER HOSPITAL & NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 18, 1972
Last certification
Feb 19, 2025
Beds
84
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
99 E State St
Gloversville, NY 12078-1203
Nursing home name
NATHAN LITTAUER HOSPITAL NURSING HOME

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Nathan Littauer Hospital Nursing HomeCCN 335351 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 18, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8468.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Primary Care Center Nat4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Sean M Fadale Individual Corporate OfficerPresident and Ceo Oct 5, 2020
Gregory Truckenmiller Individual Corporate Director Jan 1, 2017
Polly Hoye Individual Corporate Director Jan 1, 2025
Susan Johnson Individual Corporate DirectorTreasurer Jan 1, 2017
Holly Chamberlin Individual Corporate DirectorSecretary Jan 1, 2017
Peter Kiernan Individual Corporate Director Jan 1, 2025
Devjit Roy Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Feb 5, 2025
Michael Ostrander Individual Corporate OfficerVP Finance & Cfo Dec 13, 2012
Audrey Kline Individual Corporate Director Jan 1, 2025
Amy Pedrick Individual Corporate Director Jan 1, 2025
Paul Naslund Individual Corporate Director Jan 1, 2025
Imari Shaw Individual Corporate Director Jan 1, 2025
Ryan Jeremiah Individual Corporate Director Jan 1, 2025
Aimee Rathka Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Feb 5, 2025
John M Fox Individual Corporate Director Jan 1, 2025
Tobin L Cash Individual Corporate Director Jan 1, 2025

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 153

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.

View all 153

Affiliated clinicians 1

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1073541850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "12078",
            "telephone_number": "518-725-8621",
            "fax_number": "518-775-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "12078",
            "telephone_number": "518-725-8621",
            "fax_number": "518-775-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN LITTAUER HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "OSTRANDER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP FINANCE AND CFO",
        "authorized_official_telephone_number": "518-773-5480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1701000N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7449324",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00018",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01212853",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nathan Littauer Hospital and Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gloversville, NY

Sources for this page

Verify at the official NPI Registry.