Meadows at Westfall Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2750306N Issued in NY

Legal business name

MEADOWS AT WESTFALL INC

Practice address

5901 Lac de Ville Blvd
Rochester, NY 14618-5600

Phone

(585) 442-7960

Fax

(585) 442-6984

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Daryl Drader, CFO

Title

Controller

Phone

(585) 442-7960

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335778001

Legal name

MEADOWS AT WESTFALL INC

Doing business as

THE HIGHLANDS AT BRIGHTON

Organization structure

CorporationNon-profit

Incorporated

May 28, 1996 in NY

Enrollment address

5901 Lac de Ville Blvd
Rochester, NY 14618-5600

Nursing home name

THE HIGHLANDS AT BRIGHTON

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 10

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.

• Jennifer Muniak, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Rochester, NY
  • NPI 1699090084

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Gise, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1992143218

  Multi-Specialty

  NPD (past)
• Timothy Holahan, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1346483930
  NPD (past)
• Katlyn Faith McBride, MD

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1760989180
  NPD (past)
• Jennifer Muniak, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Rochester, NY
  • NPI 1699090084
  NPD (past)
• Sara Salim, MD

  • Physical Medicine & Rehabilitation Physician
  • Rochester, NY
  • NPI 1508090143
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1114924438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185600",
            "telephone_number": "585-442-7960",
            "fax_number": "585-442-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185600",
            "telephone_number": "585-442-7960",
            "fax_number": "585-442-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS AT WESTFALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "DRADER",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "585-442-7960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2750306N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SKILLED NURSING FACILITY",
            "identifier": "P015005951",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SKILLED NURSING FACILITY",
            "identifier": "104634CI",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SKILLED NURSING FACILITY",
            "identifier": "51",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SKILLED NURSING FACILITY",
            "identifier": "P0150059VD",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SKILLED NURSING FACILITY",
            "identifier": "53",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01534225",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Lynn Meacham, LPN
• James Mead, MD
• Karen Elizabeth Mead, M.D.
• Leah Mead, LMHC
• Bridget A Meade
• Robert Paul Meadows, LCSW
• Cecilia C Meagher, MD
• Daniel Meagher, RN
• Deanna Alma Mealing, LPN
• Douglas Allen Mealing I

• Skilled Nursing Facility in Rochester, NY
• Providers in Rochester, 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 18, 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.