NPIMap

Organization Active NPI

Easter Seals New York, Inc

  • Mental Illness Intermediate Care Facility
  • Rochester, NY
National Provider Identifier
1316226350
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
EASTER SEALS NEW YORK, INC
Practice address
302 Daley Boulevard
Rochester, NY 14617
Phone
(585) 957-9202
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Ms. Carol Khoury
Title
Cfo
Phone
(585) 957-9202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X NY Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X

Addresses

Primary practice location

302 Daley Boulevard
Rochester, NY 14617

Mailing address

633 3Rd Ave FL 6
New York, NY 10017-6733

Other identifiers 1

IdentifierTypeStateIssuer
03420995MedicaidNY

Other names 2

  • Easter Seals New York, Inc. - ICF A Other name
  • The Kessler Center Service of Easter Seals NY Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316226350. Details of each certification follow.

  • CCN 33H476 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 33H476

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
EASTER SEALS OF NEW YORK, INC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 7, 2011
Last certification
Sep 5, 2024
Beds
8
Ownership / control type
Private (non-profit)
Facility address
302 Daley Blvd
Rochester, NY 14617

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals New York Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1316226350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 3RD AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176733",
            "fax_number": "866-834-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 DALEY BOULEVARD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14617",
            "telephone_number": "585-957-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS NEW YORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "585-957-9202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03420995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals New York, Inc. - ICF A",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Kessler Center Service of Easter Seals NY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.