NPIMap

Organization Active NPI

County of Wayne

Doing business as Wayne County Nursing Home

  • Skilled Nursing Facility
  • Lyons, NY
National Provider Identifier
1568534717
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5823302N Issued in NY
Legal business name
COUNTY OF WAYNE
Doing business as
Wayne County Nursing Home
Practice address
1529 Nye Rd
Lyons, NY 14489-9111
Phone
(315) 946-5673
Fax
(315) 946-5671
NPI assigned
Nov 14, 2006
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Jeffrey Stalker
Title
Administrator
Phone
(315) 946-5673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5823302N NY Primary

Addresses

Primary practice location

1529 Nye Rd
Lyons, NY 14489-9111

Mailing address

1529 Nye Rd
Lyons, NY 14489-9111
Phone (315) 946-5673

Other identifiers 1

IdentifierTypeStateIssuer
00378730MedicaidNY

Other names 1

  • Wayne County Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000197 NY Part A Provider - Skilled Nursing Facility 8921919994 Practice locations: Lyons, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568534717. Details of each certification follow.

Skilled nursing facility certification: CCN 335406

Legal name
COUNTY OF WAYNE
Doing business as
WAYNE COUNTY NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1974
Last certification
Nov 26, 2024
Beds
192
Ownership / control type
City/County
Organization structure
OtherNon-profit
Enrollment address
1529 Nye Rd
Lyons, NY 14489-9111
Nursing home name
WAYNE COUNTY NURSING HOME

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wayne County Nursing HomeCCN 335406 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - City/county
Certified
Jan 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
192135.5 residents per day on average
Penalties (3 years)
1Fines totaling $16,153

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0904232Wayne County Nursing Home1529 Nye Road, Lyons, NY 14489Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Wayne County Dept of Aging and Youth13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Scott L Schabel Individual Operational/Managerial Control Jan 1, 2012
Adp of the SNF Apr 24, 2025
Jeffrey P Stalker Individual Operational/Managerial ControlAdministrator Nov 20, 2020 100%
Adp of the SNF Apr 7, 2025
County of Wayne Organization, Lyons, NY Non-profit 5% Or Greater Direct Ownership Interest May 14, 2005 100%
Operational/Managerial Control May 14, 2005
Adp of the SNF May 14, 2005
Direct Ownership Interest May 14, 2005 100%

Owners & managing parties with NPI records 4

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

  • County of Wayne
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Lyons, NY
    • NPI 1003824855

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Wayne

    dba Wayne County EMS

    • Land Ambulance
    • Lyons, NY
    • NPI 1588631980

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Wayne
    • Public Health or Welfare Agency
    • Lyons, NY
    • NPI 1760576763

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Scott L Schabel, M.D.
    • Internal Medicine Physician
    • Rochester, NY
    • NPI 1902808223

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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.

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1568534717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 NYE RD",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899111",
            "telephone_number": "315-946-5673",
            "fax_number": "315-946-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 NYE RD",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899111",
            "telephone_number": "315-946-5673",
            "fax_number": "315-946-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "STALKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-946-5673"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5823302N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00378730",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyons, NY

Sources for this page

Verify at the official NPI Registry.