NPIMap

Organization Active NPI

Seton Health at Schuyler Ridge Residential Healthcare

  • Skilled Nursing Facility
  • Clifton Park, NY
National Provider Identifier
1114095171
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4552300N Issued in NY
Legal business name
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
Practice address
1 Abele Dr
Clifton Park, NY 12065-2951
Phone
(518) 371-1400
Fax
(518) 371-1240
NPI assigned
Nov 30, 2006
Last updated
Jul 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Mr. Patrick J Ryan
Title
Director of Finance
Phone
(518) 275-4258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4552300N NY Primary

Addresses

Primary practice location

1 Abele Dr
Clifton Park, NY 12065-2951

Mailing address

1 Abele Dr
Clifton Park, NY 12065-2951
Phone (518) 371-1400

Other identifiers 4

IdentifierTypeStateIssuer
J100000128OtherMEDICARE B
33-5774OtherMEDICARE A PROVIDER NUMBER
01470539MedicaidNY
02994094MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111122000770 NY Part A Provider - Skilled Nursing Facility 5991861973 Practice locations: Clifton Park, NY
O20161118002050 NY Part B Supplier - Clinic/Group Practice 5991861973 Receives reassigned benefits from 19 practitioners
Practice locations: Clifton Park, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114095171. Details of each certification follow.

Skilled nursing facility certification: CCN 335774

Legal name
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
Doing business as
NURSECORE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 15, 1994
Last certification
Mar 4, 2025
Beds
120
Ownership / control type
Other Nonprofit
Multi-facility organization
Trinity Health
Organization structure
CorporationNon-profit
Incorporated
Feb 3, 1993 in NY
Enrollment address
1 Abele Dr
Clifton Park, NY 12065-2951
Nursing home name
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL H C
Affiliated entity
TRINITY HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Seton Health at Schuyler Ridge Residential H CCCN 335774 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Feb 15, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120116.5 residents per day on average
Chain
Trinity Health19 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

425 New Scotland Ave
Ofc
Albany, NY 12208

1300 Massachusetts Ave
Fl 5
Troy, NY 12180

Ownership & related parties

All disclosed owners & managing parties 40

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

NameRoleSinceShare
Organization, Cohoes, NY Corporation, Medical provider/supplier, For-profit Adp of the SNF May 13, 2025
Michael K Burke Individual Operational/Managerial Control Sep 1, 2020
Adp of the SNF Sep 1, 2020
Organization, Albany, NY Corporation, Medical staffing company, For-profit Adp of the SNF Apr 24, 2025
Jodie Broughton Individual Adp of the SNF Mar 28, 1994
Melissa M Bakar Individual Adp of the SNF Jan 1, 2025
Merriette Pollard Individual Corporate DirectorBoard Member Oct 1, 2022
Eric Farrell Individual Corporate OfficerSecretary of the Board Jul 1, 2023
Adp of the SNF Jul 1, 2023
Organization, Pittsford, NY Consulting firm, For-profit Adp of the SNF Apr 18, 2025
St Peters Health Partners Organization, Albany, NY Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2011 100%
Operational/Managerial Control Oct 1, 2011
Adp of the SNF May 13, 2025
Patricia Lapczynski Individual Corporate DirectorBoard Member Apr 1, 2025
John Marshall Individual Corporate OfficerTreasurer of the Board Oct 5, 2022
Kathleen M Jimino Individual Corporate OfficerChair of the Board Oct 5, 2022
William Wildridge Individual Corporate OfficerVice Chair of the Board Oct 1, 2022
Organization, Overland Park, KS LLC, Medical staffing company Adp of the SNF Apr 18, 2025
Steven Donald Hanks Individual Corporate DirectorBoard Member Jan 1, 2023
Adp of the SNF Jan 1, 2023
Michael Meath Individual Corporate DirectorBoard Member Oct 1, 2022
Guha Bala Individual Corporate DirectorBoard Member Oct 1, 2022
Organization, Albany, NY Corporation, Consulting firm, Non-profit Adp of the SNF Apr 18, 2025
Gregg Tilger Individual Adp of the SNF Mar 24, 2025
Gina Myers Individual Corporate DirectorBoard Member Oct 1, 2022
Organization, Albany, NY Corporation, Medical staffing company, For-profit Adp of the SNF Apr 18, 2025
Organization, Boca Raton, FL Corporation, Medical staffing company, For-profit Adp of the SNF Apr 18, 2025
Kristin a Signor Individual Corporate OfficerVP of Finance and Operations Apr 1, 2017
Operational/Managerial Control Apr 1, 2017
Adp of the SNF Apr 1, 2017
Renu Gupta Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Organization, Sarasota, FL Corporation, Consulting firm, For-profit Adp of the SNF Apr 18, 2025
Michelle T Mazzacco Individual Operational/Managerial Control Aug 22, 2021
Adp of the SNF Aug 22, 2021
Organization, Charlotte, NC Corporation, Consulting firm, For-profit Adp of the SNF Apr 18, 2025
Organization, Troy, NY LLC, Consulting firm, For-profit Adp of the SNF Apr 18, 2025
Marguerite Sullivan Individual Corporate DirectorBoard Member Jan 1, 2025
Organization, Asheville, NC Corporation, Medical staffing company, For-profit Adp of the SNF Apr 18, 2025
Organization, Arlington, TX LLC, Medical staffing company, For-profit Adp of the SNF Apr 18, 2025
Trinity Health Corporation Organization, Livonia, MI Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2014 100%
Operational/Managerial Control Jul 1, 2014
Adp of the SNF Apr 24, 2025
Daniel Isacksen Individual Corporate DirectorEx-Officio Board Member Oct 1, 2022
Adp of the SNF Oct 1, 2011
Individual Adp of the SNF Jul 1, 2019
Kerri Sweet Zavaglia Individual Corporate DirectorBoard Member Oct 1, 2022
Robert J McCormick Individual Corporate DirectorBoard Member Jan 1, 2021
Oluwatoyin Tofade Individual Corporate DirectorBoard Member Jan 1, 2024
Organization, Glenview, IL LLC, Medical staffing company, Consulting firm, For-profit Adp of the SNF Apr 18, 2025
Karen Ducreay Individual Adp of the SNF Nov 10, 2024
Kamryn Ilgner Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023

Owners & managing parties with NPI records 4

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

Facilities with the same owner 157

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

View all 157

Practitioners & affiliated clinicians

Practitioners 21

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 21

Affiliated clinicians 2

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1114095171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ABELE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652951",
            "telephone_number": "518-371-1400",
            "fax_number": "518-371-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ABELE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652951",
            "telephone_number": "518-371-1400",
            "fax_number": "518-371-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "518-275-4258",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "4552300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "J100000128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE A PROVIDER NUMBER",
            "identifier": "33-5774",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01470539",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02994094",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.