Organization Active NPI

Niagara Lutheran Development, Inc.

Doing business as Greenfield Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Lancaster, NY
National Provider Identifier
1336100551
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1467301N Issued in NY
Legal business name
NIAGARA LUTHERAN DEVELOPMENT, INC.
Doing business as
Greenfield Health and Rehabilitation Center
Practice address
5949 Broadway St
Lancaster, NY 14086-9523
Phone
(716) 684-3000
Fax
(716) 684-3380
NPI assigned
Mar 29, 2006
Last updated
Jun 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Mrs. Laurie J. Jankowski
Title
Chief Financial Officer
Phone
(716) 684-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1467301N NY Primary

Addresses

Primary practice location

5949 Broadway St
Lancaster, NY 14086-9523

Mailing address

5959 Broadway St
Lancaster, NY 14086-9523
Phone (716) 684-0202

Other identifiers 1

IdentifierTypeStateIssuer
01182512MedicaidNY

Other names 1

  • GREENFIELD HEALTH AND REHABILITATION CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080718000141 NY Part A Provider - Skilled Nursing Facility 0143393579 Practice locations: Lancaster, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336100551. Details of each certification follow.

Skilled nursing facility certification: CCN 335182

Legal name
NIAGARA LUTHERAN DEVELOPMENT, INC.
Doing business as
GREENFIELD HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Dec 18, 2023
Beds
160
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
5949 Broadway St
Lancaster, NY 14086-9523
Nursing home name
GREENFIELD HEALTH & REHAB CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Greenfield Health & Rehab CenterCCN 335182 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160152.3 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
33D2011538Greenfield Health & Rehabilitation Center5949 Broadway, Lancaster, NY 14086Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

5959 Broadway St
Lancaster, NY 14086
Phone 71668402021819

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Carol Lankes Individual Corporate Director Jul 24, 2008
Paul Mertzlufft Individual Corporate Director Jul 15, 2008
Sita Akkinepally Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Steven Chizuk Individual Corporate OfficerChief Financial Officer Aug 30, 2021
Operational/Managerial Control Aug 30, 2021
Adp of the SNF Aug 31, 2021
Shane Daniel Setlock Individual Operational/Managerial Control Jun 19, 2023
Adp of the SNF Jun 19, 2023
Candyce Ingwersen Individual Corporate Director Nov 1, 2012
Christopher Koenig Individual Corporate OfficerPresident/Ceo May 2, 2016
Corporate DirectorPresident/Ceo May 2, 2016
Operational/Managerial Control Apr 19, 2016
Adp of the SNF Apr 19, 2016
Niagara Lutheran Health System, Inc. Organization, Lancaster, NY Non-profit Adp of the SNF Apr 18, 1996

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

Practitioners 6

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 5

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1336100551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 BROADWAY ST",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140869523",
            "telephone_number": "716-684-0202",
            "fax_number": "716-206-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 BROADWAY ST",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140869523",
            "telephone_number": "716-684-3000",
            "fax_number": "716-684-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA LUTHERAN DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "JANKOWSKI",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "716-684-0202",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1467301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01182512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENFIELD HEALTH AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, NY

Sources for this page

Verify at the official NPI Registry.