NPIMap

Organization Active NPI

Nathan Littauer Hospital & Nursing Home

  • General Acute Care Hospital
  • Gloversville, NY
National Provider Identifier
1538296207
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
115822-1 Issued in NY
Legal business name
NATHAN LITTAUER HOSPITAL & NURSING HOME
Practice address
99 E State St
Gloversville, NY 12078-1203
Phone
(518) 773-5507
Fax
(518) 773-5678
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Margaret Elizabeth Luck
Title
Lifeline Co-Ordinator
Phone
(518) 773-5507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 115822-1 NY Primary

Addresses

Primary practice location

99 E State St
Gloversville, NY 12078-1203

Mailing address

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5507

Other identifiers 1

IdentifierTypeStateIssuer
01519915MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101209000504 NY Part A Provider - Hospital 4183618101 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Johnstown, NY; Speculator, NY; Mayfield, NY; Gloversville, NY; Fonda, NY; Caroga Lake, NY; Broadalbin, NY; Amsterdam, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538296207. Details of each certification follow.

Hospital certification: CCN 330276

Legal name
NATHAN LITTAUER HOSPITAL ASSOCIATION
Doing business as
NATHAN LITTAUER HOSPITAL AND NURSING HOME
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 26, 2023
Beds
74
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 1, 1894 in NY
Enrollment address
99 E State St
Gloversville, NY 12078-1203
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Nathan Littauer HospitalCCN 330276 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Primary Care Center Nat4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

375 Golf Course Rd
Amsterdam, NY 12010
Phone (518) 212-6070

4104 State Highway 30
Amsterdam, NY 12010
Phone (518) 883-8620

46 E Main St
Fonda, NY 12068
Phone (518) 773-5308

182 Steele Ave
Gloversville, NY 12078
Phone (518) 725-2620

110 Decker Dr
#100
Johnstown, NY 12095
Phone (518) 762-6731

23 S Perry St
Johnstown, NY 12095
Phone (518) 736-1500

434 S Kingsboro Ave
Johnstown, NY 12095
Phone (518) 752-5275

2497 State Highway 30
Mayfield, NY 12117
Phone (518) 661-5493

2862 State Route 8
Speculator, NY 12164
Phone (518) 548-8155

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Sean M Fadale Individual Corporate OfficerPresident and Ceo Oct 5, 2020
Corporate DirectorPresident and Ceo Oct 5, 2020
W-2 Managing EmployeePresident and Ceo Oct 5, 2020 100%
Stephen Tomlinson Individual Corporate DirectorVice Chair Jan 1, 2018
Michael Redcross Individual W-2 Managing EmployeeDirector of Finance Jan 13, 2013
Gregory Truckenmiller Individual Corporate DirectorBoard Member Chair Jan 1, 2013
Polly Hoye Individual Corporate DirectorBoard Member Jan 1, 2023
Susan Johnson Individual Corporate DirectorBoard Member/Treasurer Jan 1, 2012
Holly Chamberlin Individual Corporate DirectorBoard Member Jan 1, 2012
Peter Kiernan Individual Corporate Director Jan 1, 2023
Michael Ostrander Individual Corporate OfficerVP Finance & Cfo Dec 31, 2012
Audrey Kline Individual Corporate Director Jan 1, 2023
Amy Pedrick Individual Corporate DirectorBoard Member Jan 1, 2018
Paul Naslund Individual Corporate Director Jan 1, 2023
Ryan Jeremiah Individual Corporate DirectorBoard Member Jan 1, 2018
John M Fox Individual Corporate DirectorBoard Member Jan 1, 2018
Tobin L Cash Individual Corporate DirectorBoard Member Jan 1, 2018

Practitioners & affiliated clinicians

Practitioners 109

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.

View all 109

Affiliated clinicians 275

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

View all 275

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538296207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-773-5507",
            "fax_number": "518-773-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-773-5507",
            "fax_number": "518-773-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN LITTAUER HOSPITAL & NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCK",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "LIFELINE CO-ORDINATOR",
        "authorized_official_telephone_number": "518-773-5507",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "115822-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01519915",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

Verify at the official NPI Registry.