Active NPI
Tolstoy Foundation Nursing Home Company Inc
- Skilled Nursing Facility
- Valley Cottage, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 4350301N
- Legal business name
- TOLSTOY FOUNDATION NURSING HOME COMPANY INC
- Practice address
- 100 Lake Rd
Valley Cottage, NY 10989-2339 - Phone
- (845) 268-6813
- Fax
- (845) 268-7673
- NPI assigned
- Sep 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dorothy Corbett
- Title
- Administrator/Ceo
- Phone
- (845) 268-6813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4350301N | NY | Primary |
Addresses
Primary practice location
100 Lake Rd
Valley Cottage, NY 10989-2339
Mailing address
100 Lake Rd
Valley Cottage, NY 10989-2339
Phone (845) 268-6813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00309068 | Medicaid | NY |
Other names 1
- TOLSTOY FOUNDATION REHABILITATION AND NURSING CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030812000047 | NY | Part A Provider - Skilled Nursing Facility | 4082525613 | Practice locations: Valley Cottage, NY |
Skilled nursing facility certification: CCN 335311
- Legal name
- TOLSTOY FOUNDATION NURSING HOME COMPANY INC
- Doing business as
- TOLSTOY FOUNDATION REHABILITATION AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 5, 1970
- Last certification
- Jun 4, 2024
- Beds
- 96
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 1, 1970 in NY
- Enrollment address
- 100 Lake Rd
Valley Cottage, NY 10989-2339 - Nursing home name
- TOLSTOY FOUNDATION REHABILITATION AND NRSG CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Tolstoy Foundation Rehabilitation And Nrsg Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Oct 5, 1970
- Medicare certification status
- Active
- Certified beds
- 96
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1005345 | Tolstoy Foundation Rehabilitation & Nursing Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Don Lundquist | Corporate Director | May 26, 2015 | |
| Gregory Kostura | Corporate Director | May 26, 2015 | |
| Dorothy Corbett | Corporate Director | Feb 20, 2007 | |
| W-2 Managing Employee | Feb 20, 2007 | ||
| Andrew Kotchoubey | Corporate Director | May 26, 2015 |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Nanuet, NY
- NPI 1871654897
-
- Internal Medicine Physician
- West Nyack, NY
- NPI 1518058940
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1669935128
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": "1127779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435104000000",
"number": "1114913902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LAKE RD",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892339",
"telephone_number": "845-268-6813",
"fax_number": "845-268-7673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LAKE RD",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892339",
"telephone_number": "845-268-6813",
"fax_number": "845-268-7673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOLSTOY FOUNDATION NURSING HOME COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-27",
"last_updated": "2015-06-24",
"status": "A",
"authorized_official_last_name": "CORBETT",
"authorized_official_first_name": "DOROTHY",
"authorized_official_title_or_position": "ADMINISTRATOR/CEO",
"authorized_official_telephone_number": "845-268-6813"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "4350301N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00309068",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TOLSTOY FOUNDATION REHABILITATION AND NURSING CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Valley Cottage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.