Active NPI
Niagara Lutheran Development, Inc.
Doing business as Greenfield Health and Rehabilitation Center
- Skilled Nursing Facility
- Lancaster, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1467301N
- 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, 2015
- 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
- Mrs. Laurie J. Jankowski
- Title
- Chief Financial Officer
- Phone
- (716) 684-0202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01182512 | Medicaid | NY |
Other names 1
- GREENFIELD HEALTH AND REHABILITATION CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 160
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 |
|---|---|---|---|
| 33D2011538 | Greenfield Health & Rehabilitation Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Carol Lankes | Corporate Director | Jul 24, 2008 | |
| Paul Mertzlufft | Corporate Director | Jul 15, 2008 | |
| Sita Akkinepally | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Steven Chizuk | Corporate Officer | Aug 30, 2021 | |
| Operational/Managerial Control | Aug 30, 2021 | ||
| Adp of the SNF | Aug 31, 2021 | ||
| Shane Daniel Setlock | Operational/Managerial Control | Jun 19, 2023 | |
| Adp of the SNF | Jun 19, 2023 | ||
| Candyce Ingwersen | Corporate Director | Nov 1, 2012 | |
| Christopher Koenig | Corporate Officer | May 2, 2016 | |
| Corporate Director | May 2, 2016 | ||
| Operational/Managerial Control | Apr 19, 2016 | ||
| Adp of the SNF | Apr 19, 2016 | ||
| Niagara Lutheran Health System, Inc. | 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.
-
- Internal Medicine Physician
- Fredonia, NY
- NPI 1225372691
Adp of the SNF, Operational/Managerial Control
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.
-
- Physical Therapist
- East Amherst, NY
- NPI 1730808585
-
- Speech-Language Pathologist
- Chicago, IL
- NPI 1720486525
-
- Internal Medicine Physician
- Fredonia, NY
- NPI 1225372691
-
- Internal Medicine Physician
- Newfane, NY
- NPI 1407801798
-
- Physical Therapist
- West Seneca, NY
- NPI 1093914293
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1922039213
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.