Active NPI
NHRC Acquisition LLC
Doing business as Humboldt House rehabilitation & Nursing Center
- Skilled Nursing Facility
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NHRC ACQUISITION LLC
- Doing business as
- Humboldt House rehabilitation & Nursing Center
- Practice address
- 64 Hager St
Buffalo, NY 14208-1327 - Phone
- (716) 886-4377
- NPI assigned
- Nov 18, 2015
- Last updated
- Nov 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Goldstein
- Title
- Managing Member
- Phone
- (718) 927-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
64 Hager St
Buffalo, NY 14208-1327
Mailing address
64 Hager St
Buffalo, NY 14208-1327
Phone (716) 886-4377
Other names 1
- Humboldt House rehabilitation & Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151214000280 | NY | Part A Provider - Skilled Nursing Facility | 8022319243 | Practice locations: Buffalo, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1538533278. Details of each certification follow.
Skilled nursing facility certification: CCN 335164
- Legal name
- NHRC ACQUISITION LLC
- Doing business as
- HUMBOLDT HOUSE REHABILITATION AND NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- May 23, 2024
- Beds
- 173
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Feb 20, 2014 in NY
- Enrollment address
- 64 Hager St
Buffalo, NY 14208-1327 - Nursing home name
- HUMBOLDT HOUSE REHABILITATION AND NURSING CENTER
- Affiliated entity
- THE SHERMAN FAMILY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Humboldt House Rehabilitation and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 173
- Chain
- The Sherman Family
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2149303 | Humboldt House | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Hindy Amsel | 5% Or Greater Direct Ownership Interest | Feb 20, 2014 | 2% |
| Michelle Hardy | W-2 Managing Employee | Nov 28, 2019 | 100% |
| Lea Sherman | 5% Or Greater Direct Ownership Interest | Feb 20, 2014 | 24% |
| Yehuda Sherman | 5% Or Greater Direct Ownership Interest | Feb 20, 2014 | 10.94% |
| Jeffery Goldstein | 5% Or Greater Direct Ownership Interest | Feb 20, 2014 | 24% |
| Esther Mendlowitz | 5% Or Greater Direct Ownership Interest | Feb 20, 2014 | 10.94% |
| Tzvi Sherman | 5% Or Greater Direct Ownership Interest | Feb 20, 2014 | 10.94% |
| Alexander Sherman | 5% Or Greater Direct Ownership Interest | Feb 20, 2014 | 17.18% |
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Hospitalist Physician
- Niagara Falls, NY
- NPI 1306160544
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1922039213
Affiliated clinicians 2
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": "1447804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447804800000",
"number": "1538533278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 HAGER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142081327",
"telephone_number": "716-886-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 HAGER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142081327",
"telephone_number": "716-886-4377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NHRC ACQUISITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-18",
"last_updated": "2015-11-18",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "718-927-6300"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Humboldt House rehabilitation & Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.