Penfield Place, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2761300 Issued in NY

Legal business name

PENFIELD PLACE, LLC

Practice address

1700 Penfield Rd
Penfield, NY 14526-2108

Phone

(585) 586-7433

Fax

(585) 586-7799

NPI assigned

Jun 15, 2005

Last updated

Sep 24, 2015By 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

Mr. Robert W Hurlbut

Title

Owner/Member

Phone

(585) 244-0410

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Penfield Place Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275538407. Details of each certification follow.

• CCN 335407 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335407

Legal name

PENFIELD PLACE, LLC

Doing business as

THE BONADIO GROUP

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 1974

Last certification

Jan 31, 2025

Beds

48

Ownership / control type

Individual

Most recent change of ownership

Apr 1, 2007

Organization structure

LLCProprietary

Enrollment address

1700 Penfield Rd
Penfield, NY 14526-2108

Nursing home name

PENFIELD PLACE

Affiliated entity

HURLBUT CARE

Listed as

Penfield PlaceCCN 335407 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Feb 1, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4845.0 residents per day on average

Chain

Hurlbut Care13 facilities in the chain

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

All disclosed owners & managing parties 6

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.

• Dallas Lee Nelson, M.D.

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1598718314

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Steven Buslovich, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1407172323
  NPD (past)
• Seema G Dahake, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1477525749
  NPD (past)
• Darakhshan F Shamsie, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Clifton, NJ
  • NPI 1821033481
  NPD (past)

Affiliated clinicians 2

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

• Steven Buslovich, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1407172323

  Nursing home

  Care Compare affiliation
• Seema G Dahake, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1477525749

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1275538407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072107",
            "telephone_number": "585-244-0410",
            "fax_number": "585-244-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PENFIELD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262108",
            "telephone_number": "585-586-7433",
            "fax_number": "585-586-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENFIELD PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "HURLBUT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "585-244-0410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2761300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00922918",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penfield Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kellene Francys Paul
• Brandy S Pearison
• Rachael Peggs
• Penfield Obstetrics and Gynecology LLP
• Penfield Pediatrics, LLC
• Penfield Psychiatry PC
• Penfield Volunteer Emergency Ambulance Service Inc
• Mary Katherine Perrello, P.N.P.
• Petal Psychiatry, NP, PLLC
• Benjamin P. Peters, O.D

• Skilled Nursing Facility in Penfield, NY
• Providers in Penfield, 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 Sep 24, 2015; 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.