NPIMap

Organization Active NPI

Trustees of the Masonic Hall and Asylum Fund

Doing business as Masonic Care Community of New York

  • Skilled Nursing Facility
  • Utica, NY
National Provider Identifier
1275597064
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3202308N Issued in NY
Legal business name
TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND
Doing business as
Masonic Care Community of New York
Practice address
2150 Bleecker St
Utica, NY 13501-1788
Phone
(315) 798-4800
Fax
(315) 798-4928
NPI assigned
Apr 17, 2006
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Mr. Robert Raffle
Title
Ceo, Executive Director
Phone
(315) 798-4833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3202308N NY Primary

Addresses

Primary practice location

2150 Bleecker St
Utica, NY 13501-1788

Mailing address

2150 Bleecker St
Utica, NY 13501-1788

Other identifiers 1

IdentifierTypeStateIssuer
00312267MedicaidNY

Other names 1

  • Masonic Care Community of New York Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040719000788 NY Part B Supplier - Clinic/Group Practice 3779575147 Receives reassigned benefits from 7 practitioners
Practice locations: Utica, NY
O20090203000618 NY Part A Provider - Skilled Nursing Facility 3779575147 Practice locations: Utica, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275597064. Details of each certification follow.

Skilled nursing facility certification: CCN 335541

Legal name
TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND
Doing business as
MASONIC CARE COMMUNITY OF NEW YORK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1976
Last certification
May 17, 2024
Beds
320
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 21, 1864 in NY
Enrollment address
2150 Bleecker St
Utica, NY 13501-1738
Nursing home name
MASONIC CARE COMMUNITY OF NEW YORK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Masonic Care Community of New YorkCCN 335541 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
320297.6 residents per day on average
Penalties (3 years)
1Fines totaling $88,433

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Robert J Raffle Individual Corporate DirectorCeo/Executive Director Jan 1, 2010
W-2 Managing EmployeeCeo/Executive Director Jan 1, 2010
Christopher Hough Individual Corporate OfficerBoard Member May 17, 2019
Joseph D Saglimbene Individual Corporate OfficerBoard Member May 3, 2016
David P Spencer Individual Corporate OfficerBoard Member May 5, 2015
George Filippidis Individual Corporate OfficerBoard Member Dec 16, 2019
George S Getman Individual Corporate OfficerBoard Member May 1, 2014
Keith W Heinrich Individual Corporate OfficerBoard Member May 3, 2016
Jill D Wynne Individual W-2 Managing EmployeeController Oct 1, 1993
Operational/Managerial ControlController Aug 15, 1994
George M Morris Individual Corporate OfficerBoard Member May 3, 2016
Michael J. Siegel Individual Corporate OfficerBoard Member May 5, 2015
Nathan D Lipper Individual Corporate OfficerBoard Member May 1, 2014

Practitioners & affiliated clinicians

Practitioners 8

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.

Affiliated clinicians 3

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1275597064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 BLEECKER ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 BLEECKER ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011788",
            "telephone_number": "315-798-4800",
            "fax_number": "315-798-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "RAFFLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-798-4833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3202308N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00312267",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masonic Care Community of New York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.