Active NPI
Comprehensive at Williamsville LLC
- Skilled Nursing Facility
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 142130010
- Legal business name
- COMPREHENSIVE AT WILLIAMSVILLE LLC
- Practice address
- 147 Reist St
Williamsville, NY 14221-5321 - Phone
- (716) 633-5400
- NPI assigned
- Mar 17, 2015
- 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
- Mr. Jason Teitelbaum
- Title
- Administrator
- Phone
- (716) 633-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 142130010 | NY | Primary |
Addresses
Primary practice location
147 Reist St
Williamsville, NY 14221-5321
Mailing address
147 Reist Street
Williamsville, NY 14221
Phone (716) 633-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150601001748 | NY | Part A Provider - Skilled Nursing Facility | 2264753441 | Practice locations: Buffalo, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1164815916. Details of each certification follow.
Skilled nursing facility certification: CCN 335172
- Legal name
- COMPREHENSIVE AT WILLIAMSVILLE LLC
- Doing business as
- COMPREHENSIVE REHABILITATION AND NURSING CENTER AT WILLIAMSVILLE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Dec 6, 2024
- Beds
- 142
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Comprehensive
- Most recent change of ownership
- May 5, 2015
- Organization structure
- LLC
- Incorporated
- Jan 9, 2014 in NY
- Enrollment address
- 147 Reist St
Buffalo, NY 14221-5321 - Nursing home name
- COMPREHENSIVE REHABILITATION AND NURSING CENTER AT WILLIAMSVILLE
- Affiliated entity
- EPHRAM LAHASKY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Comprehensive Rehabilitation and Nursing Center at
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 142
- Chain
- Ephram Lahasky
- 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 |
|---|---|---|---|
| 33D2104684 | Comprehensive at Williamsville | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Comprehensive at Williamsville LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Williamsville, NY
- NPI 1821084492
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Debbie Korngut | 5% Or Greater Direct Ownership Interest | Mar 10, 2019 | 11.5% |
| Craig a Shaffer | W-2 Managing Employee | Mar 21, 2022 | |
| Ephram M Lahasky | 5% Or Greater Direct Ownership Interest | May 5, 2015 | 19% |
| Teresa Lichtschein | 5% Or Greater Direct Ownership Interest | Mar 10, 2019 | 7.5% |
| Jeffrey Arem | 5% Or Greater Direct Ownership Interest | Mar 10, 2019 | 5% |
| Joshua Farkovits | 5% Or Greater Direct Ownership Interest | May 5, 2015 | 19% |
| Sam a Halper | 5% Or Greater Direct Ownership Interest | May 5, 2015 | 13.5% |
| David S Gast | 5% Or Greater Direct Ownership Interest | May 5, 2015 | 24.5% |
| Jason P. Teitelbaum | W-2 Managing Employee | Feb 11, 2019 | |
| Cibc Bank USA | 5% Or Greater Security Interest | May 5, 2015 | 100% |
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Amherst, NY
- NPI 1346502689
-
- Internal Medicine Physician
- West Seneca, NY
- NPI 1639141633
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1558545442
Affiliated clinicians 2
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": "1426550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557446400000",
"number": "1164815916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 REIST STREET",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "14221",
"telephone_number": "716-633-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 REIST ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215321",
"telephone_number": "716-633-5400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE AT WILLIAMSVILLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-17",
"last_updated": "2019-05-10",
"status": "A",
"authorized_official_last_name": "TEITELBAUM",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "716-633-5400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "142130010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
- Christie Colts, LPN
- Danyele Comiss, LPN
- Kimberly Commons, LPN
- Compass Home Services, LLC (Homewatch Caregivers)
- Complete Care Chiropractic PC (Complete Care Chiropractic)
- Comprehensive Dialysis Center of Western New York, Inc.
- Melanie Comstock, LPN
- Conciege Dental Group PLLC
- Lauren Condrasky, PA
- Vera Conell, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.