Organization Active NPI

Hornc Operating LLC

  • Skilled Nursing Facility
  • Houghton, NY
National Provider Identifier
1275250714
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HORNC OPERATING LLC
Doing business as
Houghton Rehabilitation and Nursing Center
Practice address
9876 Luckey Dr
Houghton, NY 14744-8706
Phone
(585) 567-2207
NPI assigned
Oct 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Abe Mostofsky
Title
Finance
Phone
(347) 832-6899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9876 Luckey Dr
Houghton, NY 14744-8706

Mailing address

9876 Luckey Dr
Houghton, NY 14744-8706

Other names 2

  • Houghton Rehabilitation and Nursing Center Doing business as
  • Houghton Rehabilitation & Nursing Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231207003799 NY Part A Provider - Skilled Nursing Facility 8729437348 Practice locations: Houghton, NY

Skilled nursing facility certification: CCN 335641001

Legal name
HORNC OPERATING LLC
Doing business as
HOUGHTON REHABILITATION AND NURSING CENTER
Organization structure
LLCProprietary
Enrollment address
9876 Luckey Dr
Houghton, NY 14744-8706
Nursing home name
HOUGHTON REHABILITATION & NURSING CENTER
Affiliated entity
PERSONAL HEALTHCARE MANAGEMENT

National Provider Directory

National Provider Directory

Locations

9876 Luckey Dr
Houghton, NY 14744
Phone (585) 567-2207

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Teresa Creedon Individual 5% Or Greater Direct Ownership InterestManaging Member Jul 10, 2017 10%
Esther Beim Individual 5% Or Greater Direct Ownership InterestMember Jul 10, 2017 35%
Israel Ostrovitsky Individual Adp of the SNF Jan 23, 2023
Organization, Houghton, NY LLC Adp of the SNF Mar 13, 2025
Alexander Barth Individual Corporate OfficerCoo Jan 1, 2023
Adp of the SNF Jan 1, 2023
Batia Zagelbaum Individual 5% Or Greater Direct Ownership InterestMember Jul 10, 2017 40%
Chaya Walden Individual 5% Or Greater Direct Ownership InterestMember Jul 10, 2017 15%
Douglas B Mayhle Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Mar 24, 2025
Chelsea Sawyer Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1275250714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9876 LUCKEY DR",
            "city": "HOUGHTON",
            "state": "NY",
            "postal_code": "147448706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9876 LUCKEY DR",
            "city": "HOUGHTON",
            "state": "NY",
            "postal_code": "147448706",
            "telephone_number": "585-567-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORNC OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "MOSTOFSKY",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "347-832-6899"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houghton Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Houghton Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Houghton Rehabilitation & Nursing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houghton, NY

Sources for this page

Verify at the official NPI Registry.