Episcopal Church Home & Affiliates Life Care Community, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1421305N Issued in NY

Legal business name

EPISCOPAL CHURCH HOME & AFFILIATES LIFE CARE COMMUNITY, INC

Doing business as

DBA Canterbury Woods

Practice address

705 Renaissance Dr
Williamsville, NY 14221-8052

Phone

(716) 929-5800

Fax

(716) 929-5812

NPI assigned

Sep 23, 2005

Last updated

Jan 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert C. Wallace

Title

President/Ceo

Phone

(716) 929-5801

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• DBA Canterbury Woods Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093701260. Details of each certification follow.

• CCN 335816 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335816

Legal name

EPISCOPAL CHURCH HOME & AFFILIATES LIFE CARE COMMUNITY INC

Doing business as

CANTERBURY WOODS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 2, 1999

Last certification

Jan 8, 2025

Beds

50

Ownership / control type

Church Related

Multi-facility organization

Episcopal Church Home and Affiliates

Organization structure

CorporationNon-profit

Enrollment address

725 Renaissance Dr
Williamsville, NY 14221

Nursing home name

CANTERBURY WOODS

Listed as

Canterbury WoodsCCN 335816 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Aug 2, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5041.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 34

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

Owners & managing parties with NPI records 1

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

• John J Bodkin II, M.D.

  • Family Medicine Physician
  • East Amherst, NY
  • NPI 1609831536

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• John J Bodkin II, M.D.

  • Family Medicine Physician
  • East Amherst, NY
  • NPI 1609831536

  Nursing home

  Care Compare affiliation
• Richard Edward Charles, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1588629216

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1093701260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 RENAISSANCE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218052",
            "telephone_number": "716-929-5800",
            "fax_number": "716-929-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RENAISSANCE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218052",
            "telephone_number": "716-929-5800",
            "fax_number": "716-929-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPISCOPAL CHURCH HOME & AFFILIATES LIFE CARE COMMUNITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "716-929-5801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1421305N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WNY",
            "identifier": "000000384000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9U",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "0003009001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02008395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Canterbury Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorraine Engl, PH.D.
• Jessica Jane Englert, PH.D.
• Amanda Kristine English, P.A.
• Seandrea English, LPN
• Elias Epie, CRNA
• Barry Michael Epstein, MD
• Barbara J Erick
• Erie Canal Endodontics, PLLC
• Erie Niagara Neurosurgery PLLC
• Erie,Niagara Tonawanda Medical Associates PC

• Skilled Nursing Facility in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.