NPIMap

Organization Active NPI

Seneca Hill Manor, Inc.

  • Skilled Nursing Facility
  • Oswego, NY
National Provider Identifier
1487752200
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3702312N Issued in NY
Legal business name
SENECA HILL MANOR, INC.
Practice address
20 Manor Dr
Oswego, NY 13126-6495
Phone
(315) 349-5300
Fax
(315) 349-5365
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Jason Santiago
Title
Vice President & Coo
Phone
(315) 349-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3702312N NY Primary

Addresses

Primary practice location

20 Manor Dr
Oswego, NY 13126-6495

Mailing address

20 Manor Dr
Oswego, NY 13126-6495

Other identifiers 2

IdentifierTypeStateIssuer
8005AAOtherNYMEDICARE PART B
01913657MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040521000884 NY Part B Supplier - Clinic/Group Practice 1951392562 Receives reassigned benefits from 1 practitioner
Practice locations: Oswego, NY
O20111201000151 NY Part A Provider - Skilled Nursing Facility 1951392562 Practice locations: Oswego, NY

Skilled nursing facility certification: CCN 335815

Legal name
SENECA HILL MANOR INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 4, 1999
Last certification
Oct 9, 2024
Beds
120
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Incorporated
Jan 7, 1992 in NY
Enrollment address
20 Manor Dr
Oswego, NY 13126-6495
Nursing home name
SENECA HILL MANOR INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Seneca Hill Manor IncCCN 335815
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Mar 4, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120108.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Seneca Hill Manor Adult Day Health Care2 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.

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Timothy R Barnhart Individual Corporate Director Jul 1, 2019
Scott Vangorder Individual Corporate Director Jun 1, 2013
William Clark Individual Corporate Director Jun 20, 2011
Ron Tascarella Individual Corporate Director Jul 1, 2018
Victoria Furlong Individual Corporate Director Jul 1, 2016
Duane F Tull Individual Corporate Director Jan 1, 2020
Michael Backus Individual Corporate Director Jul 1, 2016
W-2 Managing EmployeePresident & Ceo Jan 1, 2023
Mark Slayton Individual Corporate OfficerYtrsdutrt Jul 1, 2014
Ellen Holst Individual Corporate OfficerSecretary Jul 1, 2016
Elizabeth W Bozeman Individual Corporate Director Jan 1, 2022
Marie Eggert Individual Corporate Director Jul 1, 2018
Paloma Sarkar Individual Corporate Director Jul 1, 2022
Daniel E Dorsey Individual Corporate Director Jul 1, 2019
Adam Gagas Individual Corporate OfficerChair Jul 1, 2013
Peter Cullinan Individual Corporate Director Jun 20, 2011
Eric T Campbell Individual Corporate OfficerChief Financial Officer Sep 1, 2016
Atom Avery Individual Corporate Director Jun 28, 2013
Oswego Health Inc Organization, Oswego, NY Non-profit 5% Or Greater Direct Ownership Interest Dec 10, 1997 100%
Ed Alberts Individual Corporate OfficerBoard Chair Jul 1, 2022
Corporate Director May 1, 2019
Katie Toomey Individual Corporate Director Jul 1, 2020

Owners & managing parties with NPI records 3

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1487752200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MANOR DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266495",
            "fax_number": "315-349-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MANOR DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266495",
            "telephone_number": "315-349-5300",
            "fax_number": "315-349-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA HILL MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "VICE PRESIDENT & COO",
        "authorized_official_telephone_number": "315-349-5300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3702312N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "8005AA",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01913657",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.