Organization Active NPI

Miriam Osborn Memorial Home Association

Doing business as The Osborn

  • Nursing Facility/Intermediate Care Facility
  • Rye, NY
National Provider Identifier
1285633354
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
5954300N Issued in NY
Legal business name
MIRIAM OSBORN MEMORIAL HOME ASSOCIATION
Doing business as
The Osborn
Practice address
101 Theall Rd
Rye, NY 10580-1406
Phone
(914) 925-8350
Fax
(914) 925-8294
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mr. Gopal P Patel, CPA
Title
Controller
Phone
(914) 925-8208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 5954300N NY Primary

Addresses

Primary practice location

101 Theall Rd
Rye, NY 10580-1406

Mailing address

101 Theall Rd
Rye, NY 10580-1406
Phone (914) 925-8350

Other names 1

  • THE OSBORN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080715000055 NY Part A Provider - Skilled Nursing Facility 6204909963 Practice locations: Rye, NY

Skilled nursing facility certification: CCN 335797

Legal name
MIRIAM OSBORN MEMORIAL HOME ASSOCIATION
Doing business as
THE OSBORN
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Aug 30, 1996
Last certification
Feb 19, 2025
Beds
84
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
101 Theall Rd
Rye, NY 10580-1406
Nursing home name
THE OSBORN

Care Compare: Nursing home

Medicare Care Compare
Listed as
The OsbornCCN 335797 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Aug 30, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8473.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0139072Osborn,the101 Theall Road, Rye, NY 10580Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Thomas Pellechi Individual Operational/Managerial Control Jul 12, 2024
Adp of the SNF Jul 12, 2024
Matthew G Anderson Individual Corporate OfficerPresident and Ceo Feb 16, 2016
Operational/Managerial Control Feb 15, 2016
Adp of the SNF Feb 15, 2016
Robert Shamil Davis Individual Corporate OfficerCfo Feb 9, 2015
Operational/Managerial Control Feb 9, 2015
Adp of the SNF Feb 9, 2015
Frederick George Sykes Individual Trustee of the SNF May 15, 2024
Adp of the SNF May 15, 2024
Indirect Ownership Interest May 15, 2024
Zenae M Merchant Individual Operational/Managerial Control Sep 19, 2022
Adp of the SNF Sep 19, 2022

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

Affiliated clinicians 7

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": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1285633354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THEALL RD",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105801406",
            "telephone_number": "914-925-8350",
            "fax_number": "914-925-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THEALL RD",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105801406",
            "telephone_number": "914-925-8350",
            "fax_number": "914-925-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM OSBORN MEMORIAL HOME ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "914-925-8208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "5954300N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE OSBORN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.