Organization Active NPI

Comprehensive at Williamsville LLC

  • Skilled Nursing Facility
  • Williamsville, NY
National Provider Identifier
1164815916
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
142130010 Issued in NY
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

Updated by the provider on May 10, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 atCCN 335172 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
142135.2 residents per day on average
Chain
Ephram Lahasky22 facilities in the chain
Penalties (3 years)
1Fines totaling $37,138

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
33D2104684Comprehensive at Williamsville147 Reist Street, Williamsville, NY 14221Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive at Williamsville 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.

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.

NameRoleSinceShare
Debbie Korngut Individual 5% Or Greater Direct Ownership Interest Mar 10, 2019 11.5%
Craig a Shaffer Individual W-2 Managing EmployeeAdministrator Mar 21, 2022
Ephram M Lahasky Individual 5% Or Greater Direct Ownership Interest May 5, 2015 19%
Teresa Lichtschein Individual 5% Or Greater Direct Ownership Interest Mar 10, 2019 7.5%
Jeffrey Arem Individual 5% Or Greater Direct Ownership Interest Mar 10, 2019 5%
Joshua Farkovits Individual 5% Or Greater Direct Ownership Interest May 5, 2015 19%
Sam a Halper Individual 5% Or Greater Direct Ownership Interest May 5, 2015 13.5%
David S Gast Individual 5% Or Greater Direct Ownership Interest May 5, 2015 24.5%
Jason P. Teitelbaum Individual W-2 Managing EmployeeAdministrator Feb 11, 2019
Cibc Bank USA Organization, Chicago, IL Financial institution 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.

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

Sources for this page

Verify at the official NPI Registry.