Ideal Senior Living Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0302302N Issued in NY

Legal business name

IDEAL SENIOR LIVING CENTER INC

Practice address

601 High Ave
Endicott, NY 13760-4720

Phone

(607) 786-7300

Fax

(607) 786-7417

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn Barbieri

Title

Director of Finance

Phone

(607) 786-7307

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335520

Legal name

IDEAL SENIOR LIVING CENTER, INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 3, 1976

Last certification

Apr 5, 2024

Beds

150

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

May 13, 1988 in NY

Enrollment address

601 High Ave
Endicott, NY 13760-4720

Nursing home name

IDEAL SENIOR LIVING CENTER

Listed as

Ideal Senior Living CenterCCN 335520 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

May 3, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

150117.2 residents per day on average

Penalties (3 years)

1Fines totaling $28,140

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Ideal Senior Living Center, Inc.

  • Home Health Agency
  • Endicott, NY
  • NPI 1265491922

  Member Of

  NPD member

All disclosed owners & managing parties 17

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Spencer Eisenberg, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Johnson City, NY
  • NPI 1417248113

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Lawrence Wiesner, MD

  • Orthopaedic Surgery Physician
  • Binghamton, NY
  • NPI 1679574123

  Corporate Officer

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Spencer Eisenberg, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Johnson City, NY
  • NPI 1417248113
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Spencer Eisenberg, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Johnson City, NY
  • NPI 1417248113

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1336116300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HIGH AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604719",
            "telephone_number": "607-786-7302",
            "fax_number": "607-786-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGH AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604720",
            "telephone_number": "607-786-7300",
            "fax_number": "607-786-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SENIOR LIVING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "BARBIERI",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "607-786-7307",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0302302N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01195995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Howard, RN, BSN
• Heather Kayson Hubeny, LCSWR
• Kathleen Jane Huff, RN
• Anwar Ahmed Hussain, M.D.
• Ideal Senior Living Center Housing Corp
• Ideal Senior Living Center, Inc.
• Kristin Joy Isenberg, RPA-C
• Islacf LLC
• Islrnc LLC
• Mira Jarmak, D.M.D.

• Skilled Nursing Facility in Endicott, NY
• Providers in Endicott, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.

Verify at the official NPI Registry.