The Church Home of the Protestant Episcopal Church in the City of Roch

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2701339N Issued in NY

Legal business name

THE CHURCH HOME OF THE PROTESTANT EPISCOPAL CHURCH IN THE CITY OF ROCH

Practice address

505 Mount Hope Ave
Rochester, NY 14620-2251

Phone

(585) 546-8400

Fax

(585) 325-6553

NPI assigned

Jul 6, 2005

Last updated

Jul 23, 2026By 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

Ms. Lisa J Marcello, CPA

Title

Executive VP/Cfo

Phone

(585) 546-8400

Specialties & licenses 1

Addresses

Other identifiers 8

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255338117. Details of each certification follow.

• CCN 335263 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335263

Legal name

THE CHURCH HOME OF THE PROTESTANT EPISCOPAL CHURCH IN THE CITY OF ROCH

Doing business as

EPISCOPAL CHURCH HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1968

Last certification

Jan 9, 2024

Beds

182

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 19, 1869 in NY

Enrollment address

505 Mount Hope Ave
Rochester, NY 14620-2251

Nursing home name

CHURCH HOME OF THE PROTESTANT EPISCOPAL CHURCH

Listed as

Church Home of the Protestant Episcopal ChurchCCN 335263 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Sep 1, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

182138.1 residents per day on average

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

Locations

Interoperability endpoints

• Direct secure messaging: briancaldwell@eslc.netsmartdirect.net
• Direct secure messaging: brianday@eslc.netsmartdirect.net
• Direct secure messaging: brianheppard@eslc.netsmartdirect.net
• Direct secure messaging: christophergise@eslc.netsmartdirect.net
• Direct secure messaging: erinheberle@eslc.netsmartdirect.net
• Direct secure messaging: jarvissanchez-rivera@eslc.netsmartdirect.net
• Direct secure messaging: johnjurik@eslc.netsmartdirect.net
• Direct secure messaging: kathleenschindler@eslc.netsmartdirect.net
• Direct secure messaging: kimpetrone@eslc.netsmartdirect.net
• Direct secure messaging: larabusch@eslc.netsmartdirect.net
• Direct secure messaging: mansuramalik@eslc.netsmartdirect.net
• Direct secure messaging: meganriccobono@eslc.netsmartdirect.net
• Direct secure messaging: patriciajuergens@eslc.netsmartdirect.net

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.

Owners & managing parties with NPI records 1

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

• Ahmed Shabab Abdur Rab, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1811426364

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 16

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.

• M Saleem Ismail, M.D.

  • Psychiatry Physician
  • Rochester, NY
  • NPI 1346278603
  Medicare reassignment NPD
• Ahmed Shabab Abdur Rab, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1811426364
  Medicare reassignment NPD (past)
• Lara Lynn Busch, F.N.P.

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1750577888
  NPD
• Brian L. Caldwell, EDD, RN, AGPCNP-BC

  • Nurse Practitioner
  • Buffalo, NY
  • NPI 1639529035
  NPD
• Brian Dewayne Day, D.O.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1457580532
  NPD
• Christopher Gise, PA-C

  • Physician Assistant
  • Rochester, NY
  • NPI 1831529304
  NPD
• Brian Heppard, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Rochester, NY
  • NPI 1407965346
  NPD
• Patricia Anne Juergens, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Pittsford, NY
  • NPI 1073625455
  NPD
• John Jurik

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1649276676
  NPD
• Mansura Tahir Malik, DNP

  • Nurse Practitioner
  • New York, NY
  • NPI 1427561356
  NPD
• Kim K Petrone, MD

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1518946599
  NPD
• Megan Kim Riccobono, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Syracuse, NY
  • NPI 1326446899
  NPD

Affiliated clinicians 2

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

• Sonia Dar, M.D.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1396180899

  Nursing home

  Care Compare affiliation
• Ahmed Shabab Abdur Rab, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1811426364

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1255338117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MOUNT HOPE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202251",
            "telephone_number": "585-546-8400",
            "fax_number": "585-325-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MOUNT HOPE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202251",
            "telephone_number": "585-546-8400",
            "fax_number": "585-325-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHURCH HOME OF THE PROTESTANT EPISCOPAL CHURCH IN THE CITY OF ROCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "MARCELLO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE VP/CFO",
        "authorized_official_telephone_number": "585-546-8400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2701339N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355500",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE - THERAPY",
            "identifier": "103363FQ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE - CUSTODIA",
            "identifier": "103363XX",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - COMMERCIAL",
            "identifier": "3123439",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BC/BS",
            "identifier": "44",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE - SKILLED",
            "identifier": "103363CI",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE ROOM & BOARD",
            "identifier": "P015005944",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE THERAPY",
            "identifier": "P014015944",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin Nicole Thayer, MS, CCC-SLP, TSSLD
• The Advocacy Center, Inc.
• The Association for the Blind and Visually Impaired - Goodwill Industr
• The Autism Council
• The Child Advocacy Center of Greater Rochester
• The Colorful Couch Mental Health Counseling PLLC
• The Community Place of Greater Rochester, Inc
• The David Hochstein Memorial Music School, Inc. (The David Hochstein Memorial School of Music & Dance)
• The Foot Performance Center, Inc.
• The Healing Connection Residential Treatment Inc.

• Skilled Nursing Facility in Rochester, NY
• Providers in Rochester, 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 Jul 23, 2026; 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.