NPIMap

Organization Active NPI

Rome Memorial Hospital, Inc.

  • Skilled Nursing Facility
  • Rome, NY
National Provider Identifier
1528042264
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROME MEMORIAL HOSPITAL, INC.
Practice address
1500 N James St
Rome, NY 13440-2844
Phone
(315) 338-7000
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Ann Marie Czyz
Title
President/Ceo
Phone
(315) 337-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1500 N James St
Rome, NY 13440-2844

Mailing address

1500 N James St
Rome, NY 13440-2844
Phone (315) 337-1200

Other identifiers 1

IdentifierTypeStateIssuer
03001407MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040719001470 NY Part B Supplier - Clinic/Group Practice 9638087273 Receives reassigned benefits from 56 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Camden, NY; Rome, NY; Boonville, NY
O20110119000524 NY Part A Provider - Skilled Nursing Facility 9638087273 Practice locations: Rome, NY

Skilled nursing facility certification: CCN 335563

Legal name
ROME MEMORIAL HOSPITAL, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1976
Last certification
Jan 8, 2025
Beds
80
Ownership / control type
Other Nonprofit
Most recent change of ownership
Nov 9, 2015
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1998 in NY
Enrollment address
1500 N James St
Rome, NY 13440-2844
Nursing home name
ROME MEMORIAL HOSPITAL, INC - R H C F

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 10

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rome Memorial Hospital, Inc - R H C FCCN 335563
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
Nov 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8076.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

264 W Dominick St
Rome, NY 13440
Phone (315) 334-4701

1819 Black River Blvd N
Rome, NY 13440
Phone (315) 337-0429

107 E Chestnut St
Ste 104
Rome, NY 13440
Phone (315) 337-7952

1500 N James St
Ofc Rome
Rome, NY 13440

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Lynn Reese Individual Corporate DirectorBoard Member Secretary Sep 1, 1995
Ryan Thompson Individual Corporate OfficerChief Operating Officer Mar 15, 2020
Lori Kaplan Felice Individual Corporate DirectorBoard Member Aug 29, 2017
Donald Hanson Individual Corporate DirectorBoard Member Aug 29, 2017
Anne Marie Czyz Individual Corporate OfficerChief Executive Officer Mar 1, 2021
Valerie Finster Individual Corporate DirectorDirector Patient Accounts Nov 1, 2021
Julie Grow Denton Individual Corporate DirectorBoard Member Jan 11, 2011
Ankur M Desai Individual Corporate DirectorChair Apr 28, 2009
Kristin Grunder Individual Corporate DirectorAsst Secretary Oct 24, 2017
Ryan O-Shaughnessy Individual Corporate DirectorAsst Treasurer Aug 29, 2017
Darlene Burns Individual Corporate DirectorSecretary Mar 29, 2016
Dewey Rowlands Individual 5% Or Greater Indirect Ownership InterestCfo Dec 9, 2015 5%
Corporate Director Aug 18, 2015
Operational/Managerial ControlCfo Aug 18, 2015
David Nolan Individual Corporate DirectorBoard Member Vice Chairman Sep 1, 2005
John R Restivo Individual Corporate DirectorVice Chair Aug 29, 2017

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 76

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

View all 76

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": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1528042264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N JAMES ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402844",
            "telephone_number": "315-337-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N JAMES ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402844",
            "telephone_number": "315-338-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "CZYZ",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "315-337-1200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03001407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.