Active NPI
MM Ewing Continuing Care Center
- Skilled Nursing Facility
- Canandaigua, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3429300N
- Legal business name
- MM EWING CONTINUING CARE CENTER
- Practice address
- 350 Parrish St
Canandaigua, NY 14424-1731 - Phone
- (585) 396-6000
- Fax
- (585) 396-6455
- NPI assigned
- May 12, 2006
- 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
- Michael Stapleton
- Title
- Evp/Coo
- Phone
- (585) 396-6490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3429300N | NY | Primary |
Addresses
Primary practice location
350 Parrish St
Canandaigua, NY 14424-1731
Mailing address
350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 396-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00311266 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050208000675 | NY | Part A Provider - Skilled Nursing Facility | 2567441421 | Practice locations: Canandaigua, NY |
Skilled nursing facility certification: CCN 335345
- Legal name
- MM EWING CONTINUING CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 22, 1971
- Last certification
- Jul 21, 2023
- Beds
- 178
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 350 Parrish Street
Canandaigua, NY 14424-1731 - Nursing home name
- M.M. EWING CONTINUING CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- M.M. Ewing Continuing Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 22, 1971
- Medicare certification status
- Active
- Certified beds
- 178
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 30
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 |
|---|---|---|---|
| Steven I Goldstein | Corporate Director | Apr 28, 2017 | |
| Susan L Fulmer | Corporate Director | Apr 29, 2022 | |
| Akua a Asante | Corporate Director | Apr 29, 2022 | |
| MM Ewing Continuing Care Center | Operational/Managerial Control | Feb 18, 1969 | |
| Adp of the SNF | Feb 18, 1969 | ||
| Coleen Emblidge | Corporate Director | Apr 26, 2024 | |
| Lori Vandusen | Corporate Director | Apr 28, 2017 | |
| Paul Griswold | Corporate Director | Apr 29, 2016 | |
| Lauren Dixon | Corporate Director | Apr 29, 2016 | |
| Mathew Janczak | Corporate Officer | Aug 1, 2022 | |
| Operational/Managerial Control | Aug 1, 2022 | ||
| Adp of the SNF | Aug 1, 2022 | ||
| Cynthia E Teerlinck | Corporate Director | Apr 26, 2024 | |
| Mark Prunoske | Corporate Officer | Mar 1, 2010 | |
| Operational/Managerial Control | Mar 1, 2010 | ||
| Adp of the SNF | Mar 1, 2010 | ||
| Mark Kovaleski | Corporate Director | Apr 29, 2022 | |
| Michael Stapleton | Corporate Officer | Jul 1, 2012 | |
| Operational/Managerial Control | Jul 1, 2012 | ||
| Adp of the SNF | Jul 1, 2012 | ||
| Krista Jackson | Corporate Director | Apr 29, 2022 | |
| Maureen Wolfe | Corporate Director | Apr 26, 2019 | |
| Mark Blazey | Corporate Director | Apr 29, 2016 | |
| Nirmala C a Nicholas | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Mark B Taubman | Corporate Director | Apr 28, 2017 | |
| David Charles Linehan | Corporate Director | Apr 26, 2024 | |
| Margaret Somerset | Corporate Director | Apr 29, 2016 | |
| Roger B Friedlander | Corporate Director | Apr 28, 2017 | |
| Justin M Weis | Corporate Director | Apr 29, 2022 | |
| David G Case | Corporate Director | Apr 28, 2017 | |
| Jennifer R Jones | Corporate Director | Apr 24, 2020 | |
| FF Thompson Health System Inc. | 5% Or Greater Direct Ownership Interest | Feb 18, 1969 | 100% |
| 5% Or Greater Security Interest | Feb 18, 1969 | 100% | |
| Operational/Managerial Control | Feb 18, 1969 | ||
| Adp of the SNF | Feb 18, 1969 | ||
| Dale Hunt | Corporate Director | Apr 28, 2017 | |
| William Kenyon | Corporate Director | Apr 28, 2017 | |
| Michael J Apostolakos | Corporate Director | Apr 27, 2018 | |
| Lauren Sands | Corporate Director | Apr 27, 2018 | |
| Georgia L Lamb | Corporate Director | Apr 24, 2020 |
Owners & managing parties with NPI records 7
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Critical Care Medicine (Internal Medicine) Physician
- Rochester, NY
- NPI 1528098647
Corporate Director
-
- Geriatric Medicine (Internal Medicine) Physician
- Rochester, NY
- NPI 1306873120
Adp of the SNF, Corporate Director, Operational/Managerial Control
-
- Family Medicine Physician
- Canandaigua, NY
- NPI 1639197197
Corporate Director
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Rochester, NY
- NPI 1740216357
-
- Geriatric Medicine (Internal Medicine) Physician
- Rochester, NY
- NPI 1184646952
-
- Geriatric Medicine (Internal Medicine) Physician
- Rochester, NY
- NPI 1912942574
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Rochester, NY
- NPI 1912942574
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317254400000",
"number": "1366493637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 PARRISH ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241731",
"telephone_number": "585-396-6000",
"fax_number": "585-396-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PARRISH ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241731",
"telephone_number": "585-396-6000",
"fax_number": "585-396-6455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MM EWING CONTINUING CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2011-09-29",
"status": "A",
"authorized_official_last_name": "STAPLETON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "EVP/COO",
"authorized_official_telephone_number": "585-396-6490"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "3429300N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00311266",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.