Active NPI
Teresian House Nursing Home Co Inc
- Skilled Nursing Facility
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TERESIAN HOUSE NURSING HOME CO INC
- Practice address
- 200 Washington Avenue Ext
Albany, NY 12203-5335 - Phone
- (518) 456-2000
- NPI assigned
- Oct 4, 2005
- Last updated
- May 27, 2010
- 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
- Mrs. Marie Theresa Ryan, REGISTERED NURSE
- Title
- MDS Coordinator
- Phone
- (518) 456-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NY | Primary |
Addresses
Primary practice location
200 Washington Avenue Ext
Albany, NY 12203-5335
Mailing address
200 Washington Avenue Ext
Albany, NY 12203-5335
Phone (518) 456-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101313N | Medicaid | NY | |
| 00312345 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1578550653. Details of each certification follow.
Skilled nursing facility certification: CCN 335627
- Legal name
- TERESIAN HOUSE NURSING HOME CO INC
- Doing business as
- UNIDINE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 20, 1978
- Last certification
- Nov 8, 2024
- Beds
- 302
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Mar 11, 1971 in NY
- Enrollment address
- 200 Washington Avenue Ext
Albany, NY 12203-5335 - Nursing home name
- TERESIAN HOUSE NURSING HOME CO INC
- Affiliated entity
- CARMELITE SISTERS FOR THE AGED & INFIRM
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Teresian House Nursing Home Co Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 20, 1978
- Medicare certification status
- Active
- Certified beds
- 302
- Chain
- Carmelite Sisters for the Aged & Infirm
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 |
|---|---|---|---|
| 33D0692597 | Teresian House Nursing Home Co Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 46
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 |
|---|---|---|---|
| Rose Kasper | Corporate Director | Jan 1, 2001 | |
| Operational/Managerial Control | Jan 1, 2001 | ||
| Managing Control - Governing Body | Jan 1, 2002 | ||
| Adp of the SNF | Jan 1, 2001 | ||
| Robert Longobucco | Corporate Director | Mar 1, 2024 | |
| Operational/Managerial Control | Mar 1, 2024 | ||
| Managing Control - Governing Body | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| Abigail Hasani | Operational/Managerial Control | Oct 9, 2024 | |
| Adp of the SNF | Oct 9, 2024 | ||
| Sandra Leboeuf | Operational/Managerial Control | May 9, 2014 | |
| Adp of the SNF | May 9, 2014 | ||
| Helene Bertazzo | Operational/Managerial Control | Jan 12, 2020 | |
| Adp of the SNF | Jan 12, 2020 | ||
| Timothy Fowler | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Michael Delbrocco | Corporate Officer | Jun 29, 1994 | |
| Operational/Managerial Control | Jun 29, 1994 | ||
| Adp of the SNF | Jun 29, 1994 | ||
| Adp of the SNF | Apr 1, 2018 | ||
| Indirect Ownership Interest | Apr 19, 2007 | ||
| Kelsey Alvarez | Operational/Managerial Control | Aug 30, 2021 | |
| Adp of the SNF | Aug 30, 2021 | ||
| Joe Reilly | Corporate Director | Mar 1, 2001 | |
| Operational/Managerial Control | Mar 1, 2001 | ||
| Managing Control - Governing Body | Mar 1, 2001 | ||
| Adp of the SNF | Mar 1, 2001 | ||
| Lillian T Dimaria | Corporate Director | Mar 1, 2024 | |
| Operational/Managerial Control | Mar 1, 2024 | ||
| Managing Control - Governing Body | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| Lea M Wright | Operational/Managerial Control | Dec 11, 2023 | |
| Adp of the SNF | Dec 11, 2023 | ||
| Cathleen Hans | Operational/Managerial Control | Sep 7, 1999 | |
| Adp of the SNF | Sep 7, 1999 | ||
| Kathleen C Flynn | Operational/Managerial Control | Apr 26, 2012 | |
| Adp of the SNF | Apr 26, 2012 | ||
| Michael Arcuri | Operational/Managerial Control | Feb 10, 2025 | |
| Adp of the SNF | Feb 10, 2025 | ||
| Paul Montgomery | Corporate Director | Mar 1, 2022 | |
| Operational/Managerial Control | Mar 1, 2022 | ||
| Managing Control - Governing Body | Mar 1, 2022 | ||
| Adp of the SNF | Mar 1, 2022 | ||
| Paul Freemantle | Operational/Managerial Control | Jul 5, 2022 | |
| Adp of the SNF | Jul 5, 2022 | ||
| Preferred Therapy Solutions LLC | Operational/Managerial Control | Aug 30, 2021 | |
| Adp of the SNF | Apr 12, 2025 | ||
| Angiola Antenucci | Corporate Director | Mar 1, 2023 | |
| Operational/Managerial Control | Mar 1, 2023 | ||
| Managing Control - Governing Body | Mar 1, 2023 | ||
| Adp of the SNF | Mar 1, 2023 | ||
| Eric Baumes | Operational/Managerial Control | Jun 14, 1996 | |
| Adp of the SNF | Jun 14, 1996 | ||
| Spectrum Parent, Inc. | Operational/Managerial Control | Oct 9, 2024 | |
| Adp of the SNF | Apr 12, 2025 | ||
| Indirect Ownership Interest | Dec 29, 2017 | ||
| Jack Consiglio | Corporate Director | Mar 1, 2021 | |
| Operational/Managerial Control | Mar 1, 2021 | ||
| Managing Control - Governing Body | Mar 1, 2021 | ||
| Adp of the SNF | Mar 1, 2021 | ||
| Gerald Jennings | Corporate Director | Jun 1, 2015 | |
| Operational/Managerial Control | Jun 1, 2015 | ||
| Managing Control - Governing Body | Jun 1, 2015 | ||
| Adp of the SNF | Jun 1, 2015 | ||
| Kathryn Hawver | Operational/Managerial Control | Sep 9, 1996 | |
| Adp of the SNF | Sep 9, 1996 | ||
| Joseph Gregory | Corporate Director | Mar 1, 2024 | |
| Operational/Managerial Control | Mar 1, 2024 | ||
| Managing Control - Governing Body | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| Frank Yeboah | Corporate Officer | Oct 12, 2020 | |
| Operational/Managerial Control | Oct 12, 2020 | ||
| Adp of the SNF | Oct 12, 2020 | ||
| Jodie Scott | Operational/Managerial Control | Dec 27, 1993 | |
| Adp of the SNF | Dec 27, 1993 | ||
| Adp of the SNF | Apr 1, 2018 | ||
| Luiz C Coelho | Operational/Managerial Control | Aug 1, 2019 | |
| Adp of the SNF | Aug 1, 2019 | ||
| Coleen Austin | Operational/Managerial Control | Mar 22, 2021 | |
| Adp of the SNF | Mar 22, 2021 | ||
| Edmond Marchi | Operational/Managerial Control | May 21, 2024 | |
| Adp of the SNF | May 21, 2024 | ||
| Indirect Ownership Interest | Jan 31, 2021 | ||
| Tammy Noel | Operational/Managerial Control | Mar 20, 2023 | |
| Adp of the SNF | Mar 20, 2023 | ||
| Joann Duquette | Corporate Director | Mar 1, 2023 | |
| Operational/Managerial Control | Mar 1, 2023 | ||
| Managing Control - Governing Body | Mar 1, 2023 | ||
| Adp of the SNF | Mar 1, 2023 | ||
| Unidine Corporation | Operational/Managerial Control | Aug 30, 2021 | |
| Adp of the SNF | Apr 12, 2025 | ||
| Adp of the SNF | Apr 1, 2018 | ||
| Bonadio & Co LLP | Operational/Managerial Control | Dec 1, 2022 | |
| Adp of the SNF | Apr 12, 2025 | ||
| Lissa McNaughton | Corporate Director | Mar 1, 2023 | |
| Operational/Managerial Control | Mar 1, 2023 | ||
| Managing Control - Governing Body | Mar 1, 2023 | ||
| Adp of the SNF | Mar 1, 2023 | ||
| Susan Delvecchio | Operational/Managerial Control | Apr 10, 1984 | |
| Adp of the SNF | Apr 10, 1984 | ||
| Joan Hartigan | Corporate Director | Mar 1, 2024 | |
| Operational/Managerial Control | Mar 1, 2024 | ||
| Managing Control - Governing Body | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| Harvey Bowks | Corporate Director | Jan 1, 2005 | |
| Operational/Managerial Control | Jan 1, 2005 | ||
| Managing Control - Governing Body | Jan 1, 2005 | ||
| Adp of the SNF | Jan 1, 2005 | ||
| Indirect Ownership Interest | Jan 1, 2015 | ||
| James Morrell | Corporate Director | Mar 1, 2019 | |
| Operational/Managerial Control | Mar 1, 2019 | ||
| Managing Control - Governing Body | Mar 1, 2019 | ||
| Adp of the SNF | Mar 1, 2019 | ||
| Heather Sheldon | Operational/Managerial Control | May 1, 2023 | |
| Adp of the SNF | May 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Albany, NY
- NPI 1164564514
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 10
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Atlanta, GA
- NPI 1821091463
Unidine Corporation
-
- Skilled Nursing Facility
- Marietta, GA
- NPI 1689671679
Unidine Corporation
-
dba Laurel View Village
- Skilled Nursing Facility
- Davidsville, PA
- NPI 1982679437
Unidine Corporation
-
dba Epworth Villa
- Nursing Facility/Intermediate Care Facility
- Oklahoma City, OK
- NPI 1114922598
Unidine Corporation
-
- Skilled Nursing Facility
- Norwood, MA
- NPI 1033846076
Bonadio & Co LLP
-
dba Davis Health and Wellness at Cambridge Village
- Skilled Nursing Facility
- Wilmington, NC
- NPI 1841697422
Unidine Corporation
-
- Skilled Nursing Facility
- Baltimore, MD
- NPI 1821218066
Unidine Corporation
-
- Skilled Nursing Facility
- Fall River, MA
- NPI 1245967280
Bonadio & Co LLP
-
- Skilled Nursing Facility
- Somerset, MA
- NPI 1992432934
Bonadio & Co LLP
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Geriatric Psychiatry Physician
- Guilderland, NY
- NPI 1003828039
-
- Internal Medicine Physician
- Delmar, NY
- NPI 1962592501
-
- Nursing Home Administrator
- Troy, NY
- NPI 1013473255
-
- Internal Medicine Physician
- Albany, NY
- NPI 1639155153
-
- Internal Medicine Physician
- Albany, NY
- NPI 1164564514
-
- Internal Medicine Physician
- Slingerlands, NY
- NPI 1508868415
-
- Family Medicine Physician
- New City, NY
- NPI 1780845834
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Slingerlands, NY
- NPI 1508868415
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274918400000",
"number": "1578550653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WASHINGTON AVENUE EXT",
"city": "ALBANY",
"state": "NY",
"postal_code": "122035335",
"telephone_number": "518-456-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WASHINGTON AVENUE EXT",
"city": "ALBANY",
"state": "NY",
"postal_code": "122035335",
"telephone_number": "518-456-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERESIAN HOUSE NURSING HOME CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-04",
"last_updated": "2010-05-27",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "THERESA",
"authorized_official_title_or_position": "MDS COORDINATOR",
"authorized_official_telephone_number": "518-456-2000",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0101313N",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00312345",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.