Organization Active NPI

Schofield Residence Inc.

  • Home Health Agency
  • Kenmore, NY
National Provider Identifier
1467875450
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SCHOFIELD RESIDENCE INC.
Doing business as
Schofield Certified Home Care
Practice address
2757 Elmwood Ave
Kenmore, NY 14217-1609
Phone
(716) 874-2600
Fax
(716) 873-2265
NPI assigned
Jan 27, 2014
Organization subpart
Yes
Parent organization
SCHOFIELD RESIDENCE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Steven Chizuk
Title
Cfo
Phone
(716) 684-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2757 Elmwood Ave
Kenmore, NY 14217-1609

Mailing address

3333 Elmwood Ave
Kenmore, NY 14217-1013
Phone (716) 874-1566

Other names 1

  • Schofield Certified Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051208000621 NY Part A Provider - Home Health Agency 6507806254 1 other NPI on this enrollment
Practice locations: Kenmore, NY

Home health agency certification: CCN 337207

Legal name
SCHOFIELD RESIDENCE INC
Doing business as
SCHOFIELD CERTIFIED HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 9, 1985
Last certification
Nov 13, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
3333 Elmwood Ave
Kenmore, NY 14217-1013
HHA Branch

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Schofield Certified Home CareCCN 337207
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
May 9, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Schofield Residence Inc5 organizations share this tax ID, including this one
Part of
Schofield Residence Inc

Other organizations with this tax ID 4

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

Ownership & 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.

NameRoleSinceShare
Lawrence Digiulio Individual Corporate Director May 13, 2016
Steven Chizuk Individual Contracted Managing EmployeeCfo Aug 21, 2021
Corporate OfficerCfo Aug 21, 2021
Christopher Koenig Individual Contracted Managing EmployeePresident and Ceo Jan 1, 2022
Corporate Officer Mar 8, 2022
Corporate Director Mar 8, 2022
Christopher Kempton Individual Corporate Director Jul 1, 2005

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1467875450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171013",
            "telephone_number": "716-874-1566",
            "fax_number": "716-874-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171609",
            "telephone_number": "716-874-2600",
            "fax_number": "716-873-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOFIELD RESIDENCE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHOFIELD RESIDENCE INC.",
        "enumeration_date": "2014-01-27",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "CHIZUK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-684-0202"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schofield Certified Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schofield Certified Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenmore, NY

Sources for this page

Verify at the official NPI Registry.