Active NPI
Genesee Valley Presbyterian Nursing Center
Doing business as Kirkhaven
- Skilled Nursing Facility
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2701345N
- Legal business name
- GENESEE VALLEY PRESBYTERIAN NURSING CENTER
- Doing business as
- Kirkhaven
- Practice address
- 254 Alexander St
Rochester, NY 14607-2515 - Phone
- (585) 461-1991
- Fax
- (585) 461-9833
- NPI assigned
- Sep 22, 2005
- Last updated
- Jul 30, 2021
- 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
- Ms. Amanda D Brown
- Title
- Executive VP/Administrator
- Phone
- (585) 461-1991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2701345N | NY | Primary |
Addresses
Primary practice location
254 Alexander St
Rochester, NY 14607-2515
Mailing address
254 Alexander St
Rochester, NY 14607-2515
Phone (585) 461-1991
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-21-65 | Other | NY | NY STATE REG. NUMBER |
| 3164 | Other | NY | NYS PFI |
| 2701345N | Other | NY | OPERATING CERTIFICATE |
| 1212440001 | Other | NY | DMERC NUMBER |
| 00817189 | Medicaid | NY | |
| 164047 | Other | NY | NYS TAX EXEMPT NUMBER |
Other names 1
- Kirkhaven
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050421000419 | NY | Part A Provider - Skilled Nursing Facility | 8224076153 | Practice locations: Rochester, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1306832613. Details of each certification follow.
Skilled nursing facility certification: CCN 335668
- Legal name
- GENESEE VALLEY PRESBYTERIAN NURSING CENTER
- Doing business as
- KIRKHAVEN
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 20, 1984
- Last certification
- Dec 9, 2024
- Beds
- 147
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 2, 1981 in NY
- Enrollment address
- 254 Alexander St
Rochester, NY 14607-2515 - Nursing home name
- KIRKHAVEN
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Kirkhaven
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 20, 1984
- Medicare certification status
- Active
- Certified beds
- 147
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 33D0665186 | Kirkhaven | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Scott Maar | Corporate Officer | May 4, 2005 | |
| Christine P Schaller | Corporate Officer | Dec 19, 2022 | |
| Operational/Managerial Control | Dec 19, 2022 | ||
| Mark Muthig | Corporate Director | Jan 1, 2021 | |
| Leticia Fornataro | Corporate Director | Jan 1, 2019 |
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Webster, NY
- NPI 1356523799
-
- Geriatric Medicine (Internal Medicine) Physician
- Rochester, NY
- NPI 1447252796
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Rochester, NY
- NPI 1447252796
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627603200000",
"number": "1306832613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 ALEXANDER ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146072515",
"telephone_number": "585-461-1991",
"fax_number": "585-461-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 ALEXANDER ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146072515",
"telephone_number": "585-461-1991",
"fax_number": "585-461-9833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESEE VALLEY PRESBYTERIAN NURSING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-22",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "EXECUTIVE VP/ADMINISTRATOR",
"authorized_official_telephone_number": "585-461-1991",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "2701345N",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE REG. NUMBER",
"identifier": "04-21-65",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS PFI",
"identifier": "3164",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPERATING CERTIFICATE",
"identifier": "2701345N",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC NUMBER",
"identifier": "1212440001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00817189",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS TAX EXEMPT NUMBER",
"identifier": "164047",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kirkhaven",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, NY
- Genesee Valley Group Health Associaton (Lifetime Health Medical Group)
- Genesee Valley Orthopaedic Associates PC
- Genesee Valley Pain Management LLC
- Genesee Valley Physical Therapy & Sports Rehab., P.C.
- Genesee Valley Podiatry LLP
- Genesee Valley Psychology, PLLC
- Genesee Vascular Laboratory, Inc
- Genesis II of Rochester, Inc Dba New-U
- Genesis Pediatrics, LLC (Genesis Pediatrics)
- Karen S Genett, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.