Victory Lake Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

00308961 Issued in NY

Legal business name

VICTORY LAKE OPERATIONS, LLC

Practice address

419 N Quaker LN
Hyde Park, NY 12538-2933

Phone

(845) 229-9177

Fax

(845) 229-2734

NPI assigned

Sep 30, 2005

Last updated

Jan 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerald J Wood

Title

Operator

Phone

(845) 229-9177

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164419511. Details of each certification follow.

• CCN 335323 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335323

Legal name

VICTORY LAKE OPERATIONS, LLC

Doing business as

THE ELEANOR NURSING CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 29, 1971

Last certification

Sep 17, 2024

Beds

120

Ownership / control type

Individual

Organization structure

LLCProprietary

Incorporated

Apr 1, 2005 in NY

Enrollment address

419 N Quaker LN
Hyde Park, NY 12538-2933

Nursing home name

THE ELEANOR NURSING CARE CENTER

Listed as

The Eleanor Nursing Care CenterCCN 335323 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 29, 1971

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12098.1 residents per day on average

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $132,957

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

Tax ID family

Victory Lake Operations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Victory Lake Operations, LLC

  • Skilled Nursing Facility
  • Baldwin, NY
  • NPI 1174510259
  NPD tax ID

All disclosed owners & managing parties 11

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.

• Deepesh S Patel, M.D.

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1720022486

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

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.

• Deepesh S Patel, M.D.

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1720022486
  NPD (past)

Affiliated clinicians 1

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

• Deepesh S Patel, M.D.

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1720022486

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1164419511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N QUAKER LN",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125382933",
            "telephone_number": "845-229-9177",
            "fax_number": "845-229-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N QUAKER LN",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125382933",
            "telephone_number": "845-229-9177",
            "fax_number": "845-229-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY LAKE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "845-229-9177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "00308961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308961",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sai-Kit Tseng, DDS
• Roger J. Tumbarello
• Irina Vadimovna Valdez
• Jessica Velez, NURSE PRACTITIONER
• Andrea Teresa Veras, LMSW
• Valerie J Vincellette, DMD
• Aqib Waheed
• Maureen Walker
• Lisa Wattoff
• Loverne Marcia Wedderburn

• Skilled Nursing Facility in Hyde Park, NY
• Providers in Hyde Park, 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 15, 2008; 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.