Woodside Manor Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2750303 Issued in NY

Legal business name

WOODSIDE MANOR NURSING HOME, INC.

Practice address

2425 Clinton Ave S
Rochester, NY 14618-2646

Phone

(585) 461-0370

Fax

(585) 461-5897

NPI assigned

Jun 16, 2005

Last updated

Oct 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert W Hurlbut

Title

Owner/President

Phone

(585) 244-0410

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528063658. Details of each certification follow.

• CCN 335366 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335366

Legal name

WOODSIDE MANOR NURSING HOME INC

Doing business as

WOODSIDE MANOR NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1976

Last certification

Mar 19, 2024

Beds

44

Ownership / control type

Individual

Multi-facility organization

Hurlbut Care Communities

Organization structure

CorporationProprietary

Incorporated

Nov 12, 1974 in NY

Enrollment address

2425 Clinton Avenue South
Rochester, NY 14618-2646

Nursing home name

WOODSIDE MANOR NURSING HOME INC

Affiliated entity

HURLBUT CARE

Listed as

Woodside Manor Nursing Home IncCCN 335366 · All quality measures

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

For profit - Individual

Certified

Nov 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4441.0 residents per day on average

Chain

Hurlbut Care13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Practitioners 3

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.

• Steven Buslovich, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1407172323
  NPD (past)
• Michael Labuzetta, MD

  • Hospitalist Physician
  • Rochester, NY
  • NPI 1457734568
  NPD (past)
• Rajaletchumy Sathasivam, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1912942574
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael Labuzetta, MD

  • Hospitalist Physician
  • Rochester, NY
  • NPI 1457734568

  Nursing home

  Care Compare affiliation
• Rajaletchumy Sathasivam, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1912942574

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1528063658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072107",
            "telephone_number": "585-244-0410",
            "fax_number": "585-244-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182646",
            "telephone_number": "585-461-0370",
            "fax_number": "585-461-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE MANOR NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "HURLBUT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "585-244-0410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2750303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355615",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Woods, LCSW, CASAC
• James R Woods, MD
• Melissa Woods, LMSW
• Paul Woods, D.O.
• Shatora Yvette Woods
• Michelle Louise Woodside, M.S., CCC-SLP
• Laura Woodson, PA
• Jacob Woodward, PA-C
• Chad M Woodworth
• Melissa Woodworth

• Skilled Nursing Facility in Rochester, NY
• Providers in Rochester, 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 Oct 14, 2015; 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.