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Organization Active NPI

Soldiers & Sailors Memorial Hospital

  • Skilled Nursing Facility
  • Penn Yan, NY
National Provider Identifier
1376686162
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOLDIERS & SAILORS MEMORIAL HOSPITAL
Practice address
418 N Main St
Penn Yan, NY 14527-1070
Phone
(315) 787-4150
Fax
(315) 787-4794
NPI assigned
Feb 14, 2007
Organization subpart
Yes
Parent organization
SOLDIERS & SAILORS MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Pamela E Johnson
Title
Treasurer & Cfo
Phone
(315) 787-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

418 N Main St
Penn Yan, NY 14527-1070

Mailing address

196 North St
Geneva, NY 14456-1651
Phone (315) 787-4150

Other identifiers 4

IdentifierTypeStateIssuer
40OtherNYBLUE CROSS
P015005055OtherNYBLUE CHOICE
111181CIOtherNYPREFERRED CARE GOLD
00355720MedicaidNY

Other names 1

  • HOMESTEAD AT SOLDIERS & SAILORS MEMORIAL HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120105000072 NY Part A Provider - Skilled Nursing Facility 0446164255 Practice locations: Penn Yan, NY

Skilled nursing facility certification: CCN 335289

Legal name
SOLDIERS & SAILORS MEMORIAL HOSPITAL
Doing business as
HOMESTEAD AT SOLDIERS & SAILORS MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 15, 1969
Last certification
Nov 4, 2024
Beds
152
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 1942 in NY
Enrollment address
418 N Main St
Penn Yan, NY 14527-1085
Nursing home name
SOLDIERS AND SAILORS MEMORIAL HOSPITAL EXTENDED CARE UNIT

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Soldiers and Sailors Memorial Hospital Extended CaCCN 335289
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jun 15, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
152134.4 residents per day on average
Penalties (3 years)
1Fines totaling $21,733

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Soldiers Sailors Memorial10 organizations share this tax ID, including this one
Part of
Soldiers Sailors Memorial

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Steven I Goldstein Individual Corporate Director Jan 28, 2025
Robert Burlingham Individual Operational/Managerial Control Jan 28, 2025
Adp of the SNF Jan 28, 2025
Kathi S Finizio Individual Operational/Managerial Control Jan 28, 2025
Robert D Anderson Individual Corporate Director Sep 14, 2021
Craig Densmore Individual Corporate Director Sep 14, 2021
Jason S Feinberg Individual Operational/Managerial Control Jan 28, 2025
Adp of the SNF Mar 24, 2025
Craig J Collins Individual Corporate Director Jan 28, 2025
William S Garrity Individual Operational/Managerial Control Jan 28, 2025
Adp of the SNF Jan 28, 2025
Chevanne Devaney Individual Corporate Director Sep 14, 2021
Jose Acevedo Individual Corporate Officer Jun 23, 2010
Rodolfo Queiroz Individual Corporate Director Sep 14, 2021
James Cheney Individual Corporate Director Sep 14, 2021
Ryan Hallings Individual Corporate Director Sep 14, 2021
James Nardozzi Individual Corporate Director Sep 14, 2021
James Adams Individual Corporate Director Jan 28, 2025
Mark B Taubman Individual Corporate Director Jan 28, 2025
Susan Stork Individual Corporate Director Sep 14, 2021
Stephen Griffin Individual Corporate Director Jan 28, 2025
Kylene Abraham Individual Corporate Director Sep 14, 2021
Thomas Burrall Individual Corporate Director Sep 14, 2021
Trisha Koczent Individual Corporate Director May 24, 2021
Operational/Managerial Control Jan 28, 2025
Adp of the SNF Jan 28, 2025
Michael F Rotondo Individual Corporate Director Jan 28, 2025
Ann H McMullen Individual Corporate Officer Apr 27, 2011
Lance Ward Individual Corporate Director Sep 14, 2021
Phillip Beckley Individual Corporate Officer Jun 23, 2010

Owners & managing parties with NPI records 5

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1376686162",
    "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": "418 N MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271070",
            "telephone_number": "315-787-4150",
            "fax_number": "315-787-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLDIERS & SAILORS MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLDIERS & SAILORS MEMORIAL HOSPITAL",
        "enumeration_date": "2007-02-14",
        "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 & CFO",
        "authorized_official_telephone_number": "315-787-4030"
    },
    "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": "40",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P015005055",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE GOLD",
            "identifier": "111181CI",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355720",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMESTEAD AT SOLDIERS & SAILORS MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Penn Yan, NY

Sources for this page

Verify at the official NPI Registry.