NPIMap

Organization Active NPI

Alice Hyde Medical Center

  • Skilled Nursing Facility
  • Malone, NY
National Provider Identifier
1356441349
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1624000N Issued in NY
Legal business name
ALICE HYDE MEDICAL CENTER
Practice address
133 Park St
Malone, NY 12953-1220
Phone
(518) 483-3000
Fax
(518) 481-2662
NPI assigned
Sep 22, 2006
Last updated
Sep 18, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ALICE HYDE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Mrs. Sandra May Macdonald
Title
VP Finance
Phone
(518) 481-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1624000N NY Primary

Addresses

Primary practice location

133 Park St
Malone, NY 12953-1220

Mailing address

133 Park St
PO Box 729
Malone, NY 12953-1220
Phone (518) 483-3000

Other identifiers 1

IdentifierTypeStateIssuer
1624000NMedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120918000313 NY Part A Provider - Skilled Nursing Facility 4082525837 Practice locations: Malone, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356441349. Details of each certification follow.

Skilled nursing facility certification: CCN 335127

Legal name
ALICE HYDE MEDICAL CENTER
Doing business as
ALICE HYDE NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Aug 18, 2022
Beds
135
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Incorporated
Apr 10, 1911 in NY
Enrollment address
45 6TH St
Malone, NY 12953-1246
Nursing home name
ALICE HYDE MEDICAL CENTER
Affiliated entity
UNIVERSITY OF VERMONT HEALTH NETWORK

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alice Hyde Medical CenterCCN 335127 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
135108.8 residents per day on average
Chain
University of Vermont Health Network3 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Alice Hyde Medical Center5 organizations share this tax ID, including this one
Part of
Alice Hyde Medical Center

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 38

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

NameRoleSinceShare
Sivan Cotel Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2019
Trustee of the SNF Jan 1, 2019
Nathan Monette Individual Corporate DirectorAhmc Board of Trustees Dec 18, 2024
Trustee of the SNF Dec 18, 2024
Deena McCullough Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2018
Trustee of the SNF Jan 1, 2018
Kara Odom Walker Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2021
Trustee of the SNF Jan 1, 2021
Thomas Fitzpatrick Individual Corporate DirectorVice-Chair, Ahmc Board of Trustees Sep 26, 2019
Trustee of the SNF Sep 26, 2019
Alison J Guile Individual Operational/Managerial Control Jun 16, 2021
Adp of the SNF Jun 16, 2021
Richard J Vincent Individual Corporate OfficerNetwork Cfo Jun 2, 2014
Debra G Leonard Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2017
Trustee of the SNF Jan 1, 2017
Donna J Kissane Individual Corporate DirectorAhmc Board of Trustees Dec 18, 2019
Trustee of the SNF Dec 18, 2019
Kristin Lea Bond Individual Adp of the SNF May 15, 2023
Matej Kollar Individual Corporate OfficerCfo Senior President Jan 1, 2024
Susan Biondolillo Individual Operational/Managerial Control Jan 14, 2019
Adp of the SNF Jan 14, 2019
Sherri Ann Dabiew Individual Adp of the SNF Feb 27, 2015
Stephen M Leffler Individual Corporate OfficerNetwork President/Ceo Jan 1, 2026
Marina Medved Individual Corporate DirectorAhmc Board of Trustees Dec 13, 2023
Trustee of the SNF Dec 13, 2023
John K Rugge Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2019
Trustee of the SNF Jan 1, 2019
Dominic Eisinger Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2021
Trustee of the SNF Jan 1, 2021
Ariel Eileen Quick Individual Adp of the SNF Apr 14, 2024
Jason Ellis Individual Corporate DirectorAhmc Board of Trustees Dec 16, 2020
Trustee of the SNF Dec 16, 2020
Colleen Marie Stone Individual Corporate OfficerPatience Accounting Manager Jan 1, 2024
Richard L Page Individual Corporate DirectorUvmhn Board of Trustees Oct 1, 2018
Trustee of the SNF Oct 1, 2018
Carol Haraden Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2022
Trustee of the SNF Jan 1, 2022
Virginia Louise Hood Individual Corporate DirectorUvmhn Board of Trustees Oct 7, 2015
Trustee of the SNF Oct 7, 2015
Tom Golonka Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2020
Trustee of the SNF Jan 1, 2020
Michelle M Lebeau Individual Corporate OfficerPresident Apr 2, 2018
Operational/Managerial Control Apr 2, 2018
The University of Vermont Health Network Inc. Organization, Burlington, VT Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 7, 2015 100%
Trustee of the SNF Oct 7, 2015
Adp of the SNF Oct 7, 2015
Victoria Z Duley Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2020
Trustee of the SNF Jan 1, 2020
Susan N Vogelzang Individual Corporate OfficerDirector of Patience Accounting Jan 1, 2024
Kerin Elizabeth Stackpole Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2016
Trustee of the SNF Jan 1, 2016
Barbara Montour Individual Corporate DirectorAhmc Board of Trustees May 19, 2021
Trustee of the SNF May 19, 2021
Craig W Richards Individual Corporate DirectorAhmc Board Trustee Mar 24, 2022
Trustee of the SNF Mar 24, 2022
Hannah Busman Individual Corporate DirectorBoard Member Dec 18, 2024
Trustee of the SNF Dec 18, 2024
Elizabeth Vicencio Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2022
Trustee of the SNF Jan 1, 2022
Mary Alice Stickney Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2015
Trustee of the SNF Jan 1, 2015
John James Dwyer Individual Corporate DirectorUvmhn Board of Trustees Jan 1, 2020
Trustee of the SNF Jan 1, 2020
Robert G Main Individual Corporate DirectorChair, Ahmc Board of Trustee Apr 20, 2016
Trustee of the SNF Apr 20, 2016
Kevin J Hart Individual Corporate DirectorAhmc and Uvmhn Board of Trustees Feb 24, 2016
Trustee of the SNF Feb 24, 2016
Robert Ramsey Herrington Individual Corporate DirectorAhmc Board of Trustees Dec 18, 2024
Trustee of the SNF Dec 18, 2024

Owners & managing parties with NPI records 7

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

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1356441349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PARK ST",
            "address_2": "PO BOX 729",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531220",
            "telephone_number": "518-483-3000",
            "fax_number": "518-481-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PARK ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531220",
            "telephone_number": "518-483-3000",
            "fax_number": "518-481-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE HYDE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALICE HYDE MEDICAL CENTER",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "518-481-2212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1624000N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624000N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

Verify at the official NPI Registry.