Katherine Luther Residential Healthcare & Rehabilitation Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KATHERINE LUTHER RESIDENTIAL HEALTHCARE & REHABILITATION CENTER, INC

Practice address

110 Utica Rd
Clinton, NY 13323-1548

Phone

(315) 853-5515

Fax

(315) 853-4025

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Andrew Peterson

Title

President and Ceo

Phone

(315) 235-7101

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335006

Legal name

KATHERINE LUTHER RESIDENTIAL HEALTHCARE & REHABILITATION CENTER INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Aug 7, 2024

Beds

280

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Incorporated

Feb 1, 2008 in NY

Enrollment address

110 Utica Rd
Clinton, NY 13323-1548

Nursing home name

KATHERINE LUTHER RESIDENTIAL HLTH CARE & REHAB

Listed as

Katherine Luther Residential HLTH Care & RehabCCN 335006

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

280150.9 residents per day on average

Penalties (3 years)

2Fines totaling $80,558

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Katherine Luther Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Katherine Luther Health Care & Rehabilitation Center, Inc

  • Non-emergency Medical Transport (VAN)
  • Clinton, NY
  • NPI 1023188976
  NPD tax ID

All disclosed owners & managing parties 13

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

Practitioners 1

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

• Hamerton David Jeanty, M.D.

  • Hospitalist Physician
  • Utica, NY
  • NPI 1215297882
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1477754802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 UTICA RD",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231548",
            "telephone_number": "315-853-5515",
            "fax_number": "315-853-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 UTICA RD",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231548",
            "telephone_number": "315-853-5515",
            "fax_number": "315-853-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE LUTHER RESIDENTIAL HEALTHCARE & REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "315-235-7101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00311413",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna R Kapes, LCSWR
• Jessica M Kast, RPA-C
• Katherine Luther Corporation
• Katherine Luther Health Care & Rehabilitation Center, Inc
• Katherine Luther Residential Healthcare & Rehabilitation Center, Inc
• Alysa Keady
• Alice Kenly, LMT, LLCC
• Olivia Kodsy
• Kara Korfonta, PT
• Stephanie Kowell, MSED, ATC

• Skilled Nursing Facility in Clinton, NY
• Providers in Clinton, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.

Verify at the official NPI Registry.