Brothers of Mercy Nursing Home Company Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

03A1672 Issued in NY

Legal business name

BROTHERS OF MERCY NURSING HOME COMPANY INC

Practice address

10570 Bergtold Rd
Clarence, NY 14031-2198

Phone

(716) 759-6985

Fax

(716) 759-2959

NPI assigned

Mar 31, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Valerie Kane, LICENSE 05166

Title

Iterim Administrator

Phone

(716) 759-6985

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335112

Legal name

BROTHERS OF MERCY NURSING HOME COMPANY INC

Doing business as

BROTHERS OF MERCY NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Jan 9, 2024

Beds

240

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

10570 Bergtold Rd
Clarence, NY 14031-2105

Nursing home name

BROTHERS OF MERCY NURSING & REHABILITATION CENTER

Listed as

Brothers of Mercy Nursing & Rehabilitation CenterCCN 335112

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

240207.0 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 19

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 2

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

• John Fudyma, MD

  • Internal Medicine Physician
  • Amherst, NY
  • NPI 1073562716

  Managing Control - Governing Body

  CMS ownership
• Stacey Shannon Gugino, MD

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1346438157

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Practitioners 2

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

• Stacey Shannon Gugino, MD

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1346438157
  NPD (past)
• Christopher Jacobus, M.D.

  • Internal Medicine Physician
  • Cheektowaga, NY
  • NPI 1275575920
  NPD (past)

Affiliated clinicians 2

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

• Stacey Shannon Gugino, MD

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1346438157

  Nursing home

  Care Compare affiliation
• Sanjay R Ogra, MD

  • Hospitalist Physician
  • Buffalo, NY
  • NPI 1275581431

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124089859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10570 BERGTOLD RD",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312198",
            "telephone_number": "716-759-6985",
            "fax_number": "716-759-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 BERGTOLD RD",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312198",
            "telephone_number": "716-759-6985",
            "fax_number": "716-759-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS OF MERCY NURSING HOME COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ITERIM ADMINISTRATOR",
        "authorized_official_telephone_number": "716-759-6985",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSE 05166"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "03A1672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00312363",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Berns, LMSW
• Lynne Ruth Birnholz, LCSW
• Jessica Marie Bond
• Aneliese Deveau Brandt
• Bridget E. Sweeney, DDS, PLLC
• Buffalo Homecare Inc
• John Joseph Campagna, DC
• Kym M Cannizzaro, NP
• Heather Mackenzie Cantie, LCSW
• Elisa Carlino

• All providers in Clarence, NY
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.