Active NPI
Miriam Osborn Memorial Home Association
Doing business as The Osborn
- Nursing Facility/Intermediate Care Facility
- Rye, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 5954300N
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 101 Theall Rd
Rye, NY 10580-1406 - Nursing home name
- THE OSBORN
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Osborn
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Aug 30, 1996
- Medicare certification status
- Active
- Certified beds
- 84
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0139072 | Osborn,the | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Thomas Pellechi | Operational/Managerial Control | Jul 12, 2024 | |
| Adp of the SNF | Jul 12, 2024 | ||
| Matthew G Anderson | Corporate Officer | Feb 16, 2016 | |
| Operational/Managerial Control | Feb 15, 2016 | ||
| Adp of the SNF | Feb 15, 2016 | ||
| Robert Shamil Davis | Corporate Officer | Feb 9, 2015 | |
| Operational/Managerial Control | Feb 9, 2015 | ||
| Adp of the SNF | Feb 9, 2015 | ||
| Frederick George Sykes | Trustee of the SNF | May 15, 2024 | |
| Adp of the SNF | May 15, 2024 | ||
| Indirect Ownership Interest | May 15, 2024 | ||
| Zenae M Merchant | 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.
-
- Internal Medicine Physician
- Rye, NY
- NPI 1912077918
Adp of the SNF, Operational/Managerial Control
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.