NPIMap

Organization Active NPI

Wesley Gardens Corporation

  • Skilled Nursing Facility
  • Rochester, NY
National Provider Identifier
1184612830
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2701352N Issued in NY
Legal business name
WESLEY GARDENS CORPORATION
Practice address
3 Upton Park
Rochester, NY 14607-1500
Phone
(585) 241-2120
Fax
(585) 241-2180
NPI assigned
Oct 7, 2005
Last updated
Aug 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Mr. Robert W Jones III
Title
President Ceo
Phone
(585) 241-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2701352N NY Primary

Addresses

Primary practice location

3 Upton Park
Rochester, NY 14607-1500

Mailing address

3 Upton Park
Rochester, NY 14607-1500
Phone (585) 241-2120

Other identifiers 1

IdentifierTypeStateIssuer
00365893MedicaidNY

Other names 1

  • Goodman Gardens Nursing Home Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040908000997 NY Part A Provider - Skilled Nursing Facility 0840266151 Practice locations: Rochester, NY
O20050421001165 NY Part B Supplier - Clinic/Group Practice 0840266151 Receives reassigned benefits from 19 practitioners
Practice locations: Rochester, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184612830. Details of each certification follow.

Skilled nursing facility certification: CCN 335488

Legal name
WESLEY GARDENS CORPORATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1976
Last certification
Jun 6, 2024
Beds
200
Ownership / control type
Individual
Multi-facility organization
WeCare HCC
Organization structure
CorporationNon-profit
Incorporated
Aug 26, 1991 in NY
Enrollment address
3 Upton Park
Rochester, NY 14607-1751
Nursing home name
LILAC MANOR REHABILITATION AND NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lilac Manor Rehabilitation and Nursing CenterCCN 335488 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jul 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200123.7 residents per day on average
Penalties (3 years)
1Fines totaling $0

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
33D2324440Wesley Gardens Corporation3 Upton Park, Rochester, NY 14607Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jacob Scheiner Individual Corporate OfficerBoard Member Dec 1, 2020
Eliezer Weill Individual Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyAdministrator Jan 1, 2025
Adp of the SNF Jul 14, 2025
Jack Y Shelby Individual Corporate OfficerBoard Member Dec 1, 2020
Yehuda Nussbaum Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Aug 4, 2025
Eli Korn Individual Corporate OfficerBoard Member Dec 1, 2020
Pinchas Faska Individual Corporate OfficerBoard Member Dec 1, 2020
Aryeh Grinspan Individual Corporate OfficerBoard Member Dec 1, 2020
M&T Bank Organization, Buffalo, NY 5% Or Greater Mortgage Interest Jun 30, 2015 68%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

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": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1184612830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UPTON PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071500",
            "telephone_number": "585-241-2120",
            "fax_number": "585-241-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 UPTON PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071500",
            "telephone_number": "585-241-2120",
            "fax_number": "585-241-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY GARDENS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "585-241-2120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2701352N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00365893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodman Gardens Nursing Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.