Glen Arden, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3523303N Issued in NY

Legal business name

GLEN ARDEN, INC.

Practice address

214 Harriman Drive
Goshen, NY 10924-2410

Phone

(845) 360-1200

Fax

(845) 291-3833

NPI assigned

Dec 27, 2006

Last updated

Apr 10, 2025By 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

Jennifer Alexander

Title

Patient Finance Manager

Phone

(914) 810-0464

Specialties & licenses 2

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 1235294547. Details of each certification follow.

• CCN 335802 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335802

Legal name

GLEN ARDEN, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 26, 1996

Last certification

Jul 2, 2024

Beds

40

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 26, 1996 in NY

Enrollment address

214 Harriman Dr
Goshen, NY 10924-2422

Nursing home name

GLEN ARDEN INC

Listed as

Glen Arden IncCCN 335802 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Nov 26, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4032.1 residents per day on average

Penalties (3 years)

2Fines totaling $108,046

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 3

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

Affiliated clinicians 1

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

• Aravinda L Bommareddy, MD

  • Hospitalist Physician
  • Cortlandt Manor, NY
  • NPI 1992869655

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1235294547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HARRIMAN DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242422",
            "telephone_number": "845-360-1400",
            "fax_number": "845-291-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HARRIMAN DRIVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242410",
            "telephone_number": "845-360-1200",
            "fax_number": "845-291-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ARDEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PATIENT FINANCE MANAGER",
        "authorized_official_telephone_number": "914-810-0464"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3523303N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01774056",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lynn Ginty, LCSW
• Adriana Giordano
• Collin William Glassey, PT, DPT
• Traci Jamroga Gleason
• Amy Glebocki, RN
• Catherine Werner Godwin, MS, CCC-SLP
• Christina Goebel
• Golden Promises Home Care LLC
• Alan Goldfischer, M.D.
• Kerry Gomulka, PA

• Skilled Nursing Facility in Goshen, NY
• Providers in Goshen, 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 Apr 10, 2025; 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.