Active NPI
Heritage Operating Associates LLC
Doing business as The Grand Rehabilitation and Nursing at Utica
- Nursing Care Agency
- Utica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- HERITAGE OPERATING ASSOCIATES LLC
- Doing business as
- The Grand Rehabilitation and Nursing at Utica
- Practice address
- 1657 Sunset Ave
Utica, NY 13502-5415 - Phone
- (718) 215-6000
- NPI assigned
- Mar 8, 2019
- Last updated
- Oct 29, 2019
- 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
- Mr. Eric Rogers
- Title
- Cfo
- Phone
- (718) 215-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
1657 Sunset Ave
Utica, NY 13502-5415
Mailing address
1720 Whitestone Expy Ste 500
Whitestone, NY 11357-3021
Phone (718) 215-6000
Other practice location 1
1720 Whitestone Expy Ste 500
Whitestone, NY 11357-3021
Phone (718) 215-6000
Other names 1
- The Grand Rehabilitation and Nursing at Utica
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190408001444 | NY | Part A Provider - Skilled Nursing Facility | 8325389075 | Practice locations: Utica, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1407314412. Details of each certification follow.
Skilled nursing facility certification: CCN 335600
- Legal name
- HERITAGE OPERATING ASSOCIATES LLC
- Doing business as
- THE GRAND REHABILITATION AND NURSING AT UTICA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 31, 1977
- Last certification
- Feb 1, 2024
- Beds
- 220
- Ownership / control type
- Corporation
- Multi-facility organization
- The Grand Healthcare System
- Organization structure
- LLC
- Incorporated
- Nov 17, 2016 in NY
- Enrollment address
- 1657 Sunset Ave
Utica, NY 13502-5415 - Nursing home name
- THE GRAND REHABILITATION AND NURSING AT UTICA
- Affiliated entity
- THE GRAND HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Grand Rehabilitation and Nursing at Utica
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 31, 1977
- Medicare certification status
- Active
- Certified beds
- 220
- Chain
- The Grand Healthcare
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 33D0663415 | Grand Rehabilitation and Nursing at Utica, the | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Heritage Acquisition Holdings LLC | 5% Or Greater Direct Ownership Interest | Feb 15, 2019 | 95% |
| Meryl B Strauss | 5% Or Greater Indirect Ownership Interest | Feb 15, 2019 | 5% |
| Eric J Rogers | Corporate Officer | Feb 15, 2019 | 5% |
| Operational/Managerial Control | Feb 15, 2019 | 5% | |
| Jeremy Baruch Strauss | 5% Or Greater Indirect Ownership Interest | Feb 15, 2019 | 90.25% |
| Corporate Officer | Feb 15, 2019 | 90.25% | |
| Operational/Managerial Control | Feb 15, 2019 | 90.25% |
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1144463084
-
- Family Medicine Physician
- Utica, NY
- NPI 1871748020
-
- Internal Medicine Physician
- Rome, NY
- NPI 1942306238
-
- Family Medicine Physician
- Worcester, NY
- NPI 1528052362
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Rochester, NY
- NPI 1710914627
-
- Internal Medicine Physician
- Linthicum Heights, MD
- NPI 1255376539
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Rochester, NY
- NPI 1710914627
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572307200000",
"number": "1407314412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 WHITESTONE EXPY STE 500",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573021",
"telephone_number": "718-215-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1657 SUNSET AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135025415",
"telephone_number": "718-215-6000"
}
],
"practiceLocations": [
{
"address_1": "1720 Whitestone Expy Ste 500",
"address_purpose": "LOCATION",
"city": "Whitestone",
"state": "NY",
"postal_code": "113573021",
"country_code": "US",
"telephone_number": "718-215-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HERITAGE OPERATING ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-08",
"last_updated": "2019-10-29",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "718-215-6000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Grand Rehabilitation and Nursing at Utica",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Grand Rehabilitation and Nursing at Utica",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.