Organization Active NPI

Syracuse Home Association

  • Skilled Nursing Facility
  • Baldwinsville, NY
National Provider Identifier
1396742482
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3327301N Issued in NY
Legal business name
SYRACUSE HOME ASSOCIATION
Practice address
7740 Meigs Rd
Baldwinsville, NY 13027-9757
Phone
(315) 638-2521
Fax
(315) 638-2552
NPI assigned
Jul 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Mr. Mark Murphy
Title
Administrator
Phone
(315) 638-2521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3327301N NY Primary

Addresses

Primary practice location

7740 Meigs Rd
Baldwinsville, NY 13027-9757

Mailing address

7740 Meigs Rd
Baldwinsville, NY 13027-9757
Phone (315) 638-2521

Other identifiers 1

IdentifierTypeStateIssuer
00436737MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040415001150 NY Part B Supplier - Clinic/Group Practice 2769477157 Receives reassigned benefits from 6 practitioners
Practice locations: Baldwinsville, NY
O20120106000684 NY Part A Provider - Skilled Nursing Facility 2769477157 Practice locations: Baldwinsville, NY

Skilled nursing facility certification: CCN 335713

Legal name
SYRACUSE HOME ASSOCIATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1990
Last certification
Feb 9, 2024
Beds
120
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1853 in NY
Enrollment address
7740 Meigs Rd
Baldwinsville, NY 13027-9757
Nursing home name
SYRACUSE HOME ASSOCIATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Syracuse Home AssociationCCN 335713 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120104.4 residents per day on average

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
33D0654534Syracuse Home Association7740 Meigs Road, Baldwinsville, NY 13027Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

7740 Meigs Rd
Baldwinsville, NY 13027
Phone (315) 635-2525

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Mark Murphy Individual Corporate OfficerCeo Jan 1, 1998
Corporate DirectorBoard Member Nov 30, 2011
W-2 Managing EmployeeCeo/Administrator Nov 30, 2011
Fred Miller Individual Corporate DirectorBoard Member-Treasurer Apr 1, 2011
Ken J Dodge Individual Corporate DirectorBoard Member Apr 1, 2019
Fred S Marty Individual Corporate DirectorBoard Member Apr 1, 2010
Donald Colon Individual Corporate DirectorBoard Member-President Apr 1, 2010
McHarrie Life, Inc. Organization, Baldwinsville, NY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2009 100%
Susan Maxsween Individual Corporate DirectorBoard Member Apr 1, 2019
Robert Wilkinson Individual Corporate DirectorBoard Member Apr 1, 2009
Dorothy L White Individual Corporate DirectorBoard Member Apr 1, 2011

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1396742482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 MEIGS RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279757",
            "telephone_number": "315-638-2521",
            "fax_number": "315-638-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 MEIGS RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279757",
            "telephone_number": "315-638-2521",
            "fax_number": "315-638-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE HOME ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-638-2521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3327301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00436737",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinsville, NY

Sources for this page

Verify at the official NPI Registry.