Organization Active NPI

Jewish Home of Central New York Inc.

  • Skilled Nursing Facility
  • Syracuse, NY
National Provider Identifier
1376537019
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
335190 Issued in NY
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

Updated by the provider on Jan 17, 2014

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)CodeLicenseStatePrimary
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 NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041022000340 NY Part B Supplier - Clinic/Group Practice 6406817535 Receives reassigned benefits from 2 practitioners
Practice locations: Syracuse, NY
O20051104000595 NY Part A Provider - Skilled Nursing Facility 6406817535 Practice locations: Syracuse, NY

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
CorporationNon-profit
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 YorkCCN 335190
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
132111.7 residents per day on average
Penalties (3 years)
1Fines totaling $121,573

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0166563Jewish Home of Central New York4101 E Genesee Street, Syracuse, NY 13214Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Phyllis Lavine Individual Corporate OfficerBoard Member Jan 1, 2010
Antoinette Cole Individual W-2 Managing EmployeeBilling/Admissions Mar 1, 1989
Jeff Scheer Individual Corporate OfficerBoard Member Jan 1, 2010
Mary Ellen Bloodgood Individual Corporate DirectorCeo Mar 1, 1987 100%
W-2 Managing Employee Jan 26, 1987
Robert Wood Individual Corporate OfficerCfo Oct 29, 2012
W-2 Managing EmployeeCfo Oct 29, 2012
Jon Maloff Individual Corporate OfficerBoard Member 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.

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

Verify at the official NPI Registry.