Organization Active NPI

Genesee Valley Presbyterian Nursing Center

Doing business as Kirkhaven

  • Skilled Nursing Facility
  • Rochester, NY
National Provider Identifier
1306832613
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2701345N Issued in NY
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04-21-65OtherNYNY STATE REG. NUMBER
3164OtherNYNYS PFI
2701345NOtherNYOPERATING CERTIFICATE
1212440001OtherNYDMERC NUMBER
00817189MedicaidNY
164047OtherNYNYS TAX EXEMPT NUMBER

Other names 1

  • Kirkhaven Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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
KirkhavenCCN 335668 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 20, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
147136.2 residents per day on average
Penalties (3 years)
1Fines totaling $8,278

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
33D0665186Kirkhaven254 Alexander Street, Rochester, NY 14607Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Scott Maar Individual Corporate OfficerCfo May 4, 2005
Christine P Schaller Individual Corporate OfficerAdministrator Dec 19, 2022
Operational/Managerial ControlAdministrator Dec 19, 2022
Mark Muthig Individual Corporate Director Jan 1, 2021
Leticia Fornataro Individual 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.

Affiliated clinicians 1

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": "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

Sources for this page

Verify at the official NPI Registry.