Organization Active NPI

Tolstoy Foundation Nursing Home Company Inc

  • Skilled Nursing Facility
  • Valley Cottage, NY
National Provider Identifier
1114913902
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4350301N Issued in NY
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

Updated by the provider on Jun 24, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00309068MedicaidNY

Other names 1

  • TOLSTOY FOUNDATION REHABILITATION AND NURSING CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 335311
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 5, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9657.6 residents per day on average
Special focus status
SFF Candidate
Penalties (3 years)
1Fines totaling $126,926

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1005345Tolstoy Foundation Rehabilitation & Nursing Center100 Lake Road, Valley Cottage, NY 10989Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Don Lundquist Individual Corporate Director May 26, 2015
Gregory Kostura Individual Corporate Director May 26, 2015
Dorothy Corbett Individual Corporate Director Feb 20, 2007
W-2 Managing Employee Feb 20, 2007
Andrew Kotchoubey Individual 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.

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

Verify at the official NPI Registry.