Huntington Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HUNTINGTON NURSING HOME INC

Doing business as

Huntington Living Center

Practice address

369 E Main St
Waterloo, NY 13165-1654

Phone

(315) 787-4150

Fax

(315) 787-4794

NPI assigned

Jan 11, 2007

Last updated

Nov 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Pamela E Johnson

Title

Treasurer and Cfo

Phone

(315) 787-4030

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Huntington Living Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356491229. Details of each certification follow.

• CCN 335879 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335879

Legal name

HUNTINGTON NURSING HOME INC.

Doing business as

HUNTINGTON LIVING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 10, 2025

Last certification

Jun 10, 2025

Organization structure

CorporationNon-profit

Enrollment address

369 E Main St
Waterloo, NY 13165-1654

Nursing home name

HUNTINGTON LIVING CENTER

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 of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University of Rochester

  dba Strong Ties Pharmacy

  • Clinic Pharmacy
  • Rochester, NY
  • NPI 1700954500

  Member Of

  NPD member

All disclosed owners & managing parties 31

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 21

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

• Jose Acevedo-Ramos, M.D.

  • Pulmonary Disease Physician
  • Geneva, NY
  • NPI 1851480529

  Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Robert Anderson, MD

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1255586400

  Corporate Director

  CMS ownership
• Craig Collins, MD

  • Surgery Physician
  • Geneva, NY
  • NPI 1619132214

  Corporate Director

  CMS ownership
• Rodolfo Queiroz, MD

  • Diagnostic Radiology Physician
  • Geneva, NY
  • NPI 1326018375

  Corporate Director

  CMS ownership
• Matthew Talbott, M.D.

  • Emergency Medicine Physician
  • Geneva, NY
  • NPI 1407964620

  Corporate Director

  CMS ownership
• Thomas N Thompson, MD, PHD

  • Diagnostic Radiology Physician
  • Geneva, NY
  • NPI 1457312233

  Corporate Director

  CMS ownership
• University of Rochester

  dba Strong Memorial Hospital Psych

  • Psychiatric Hospital Unit
  • Rochester, NY
  • NPI 1154482628

  5% Or Greater Indirect Ownership Interest, Adp of the SNF

  CMS ownership
• University of Rochester

  dba ASC Pharmacy

  • Institutional Pharmacy
  • Rochester, NY
  • NPI 1255561783

  5% Or Greater Indirect Ownership Interest, Adp of the SNF

  CMS ownership
• University of Rochester

  dba University Rochester Long Term Care Pharmacy

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1336256155

  5% Or Greater Indirect Ownership Interest, Adp of the SNF

  CMS ownership
• University of Rochester

  dba Strong Memorial Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657

  5% Or Greater Indirect Ownership Interest, Adp of the SNF

  CMS ownership
• University of Rochester

  dba Strong Memorial Hospital Rehab

  • Rehabilitation Hospital Unit
  • Rochester, NY
  • NPI 1366502098

  5% Or Greater Indirect Ownership Interest, Adp of the SNF

  CMS ownership
• University of Rochester

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rochester, NY
  • NPI 1508200817

  5% Or Greater Indirect Ownership Interest, Adp of the SNF

  CMS ownership

Practitioners 2

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.

• Jose Acevedo-Ramos, M.D.

  • Pulmonary Disease Physician
  • Geneva, NY
  • NPI 1851480529
  NPD
• Jason S Feinberg, M.D.

  • Internal Medicine Physician
  • Geneva, NY
  • NPI 1417046103
  NPD (past)

Affiliated clinicians 1

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

• Jason S Feinberg, M.D.

  • Internal Medicine Physician
  • Geneva, NY
  • NPI 1417046103

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1356491229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 NORTH ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561651",
            "telephone_number": "315-787-4150",
            "fax_number": "315-787-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 E MAIN ST",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651654",
            "telephone_number": "315-787-4150",
            "fax_number": "315-787-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASURER AND CFO",
        "authorized_official_telephone_number": "315-787-4030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "45",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PRIMARY",
            "identifier": "160743032BO",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE GOLD",
            "identifier": "111210CI",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01206220",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI SECONDARY",
            "identifier": "51069552",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P015003557",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Herczeg
• Justine Higley, LMSW
• Diana Marlene Hinman, R.N.
• Megan Hoffman, LCSW
• Stephanie Humbert
• Jessica Lea Hussey, CRPA, NYCPS-P
• David Edward Janack, RPH
• Emily Banzer Jensen, SLP
• Kaila Jensen
• John Vernon Jetty, D.D.S.

• Skilled Nursing Facility in Waterloo, NY
• Providers in Waterloo, 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 Nov 13, 2014; 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.