Active NPI
Jewish Home of Central New York Inc.
- Skilled Nursing Facility
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 335190
- Legal business name
- JEWISH HOME OF CENTRAL NEW YORK INC.
- Practice address
- 4101 E Genesee St
Syracuse, NY 13214-2136 - Phone
- (315) 446-9111
- Fax
- (315) 449-0497
- NPI assigned
- Sep 8, 2005
- 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
- Helen Clancy
- Title
- Administrator
- Phone
- (315) 446-9111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 335190 | NY | Primary |
Addresses
Primary practice location
4101 E Genesee St
Syracuse, NY 13214-2136
Mailing address
4101 E Genesee St
Syracuse, NY 13214-2136
Phone (315) 446-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
Skilled nursing facility certification: CCN 335190
- Legal name
- JEWISH HOME OF CENTRAL NEW YORK INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- May 23, 2024
- Beds
- 132
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 1, 1912 in NY
- Enrollment address
- 4101E Genesee St
Syracuse, NY 13214-2198 - Nursing home name
- JEWISH HOME OF CENTRAL NEW YORK
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Jewish Home of Central New York
- 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
- 132
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 33D0166563 | Jewish Home of Central New York | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Phyllis Lavine | Corporate Officer | Jan 1, 2010 | |
| Antoinette Cole | W-2 Managing Employee | Mar 1, 1989 | |
| Jeff Scheer | Corporate Officer | Jan 1, 2010 | |
| Mary Ellen Bloodgood | Corporate Director | Mar 1, 1987 | 100% |
| W-2 Managing Employee | Jan 26, 1987 | ||
| Robert Wood | Corporate Officer | Oct 29, 2012 | |
| W-2 Managing Employee | Oct 29, 2012 | ||
| Jon Maloff | Corporate Officer | Jan 1, 2010 |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Manlius, NY
- NPI 1376555417
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1942207261
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1356845432
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": "1126137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389916800000",
"number": "1376537019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 E GENESEE ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132142136",
"telephone_number": "315-446-9111",
"fax_number": "315-449-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 E GENESEE ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132142136",
"telephone_number": "315-446-9111",
"fax_number": "315-449-0497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEWISH HOME OF CENTRAL NEW YORK INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-08",
"last_updated": "2014-01-17",
"status": "A",
"authorized_official_last_name": "CLANCY",
"authorized_official_first_name": "HELEN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "315-446-9111"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "335190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.