Organization Active NPI

Teresian House Nursing Home Co Inc

  • Skilled Nursing Facility
  • Albany, NY
National Provider Identifier
1578550653
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0101313NMedicaidNY
00312345MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101208000137 NY Part A Provider - Skilled Nursing Facility 5890982540 Practice locations: Albany, NY
O20120202000000 NY Part B Supplier - Clinic/Group Practice 5890982540 Receives reassigned benefits from 2 practitioners
Practice locations: Albany, NY

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
CorporationNon-profit
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 IncCCN 335627 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 20, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
302285.7 residents per day on average
Chain
Carmelite Sisters for the Aged & Infirm9 facilities in the chain

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
33D0692597Teresian House Nursing Home Co Inc200 Washington Avenue Ext, Albany, NY 12203Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Rose Kasper Individual Corporate DirectorBoard Member-Carmelite Sister Jan 1, 2001
Operational/Managerial Control Jan 1, 2001
Managing Control - Governing BodyBoard Member-Carmelite Sister Jan 1, 2002
Adp of the SNF Jan 1, 2001
Robert Longobucco Individual Corporate DirectorBoard Member-Vicar General Diocese Mar 1, 2024
Operational/Managerial Control Mar 1, 2024
Managing Control - Governing BodyBoard Member-Vicar General Diocese Mar 1, 2024
Adp of the SNF Mar 1, 2024
Abigail Hasani Individual Operational/Managerial Control Oct 9, 2024
Adp of the SNF Oct 9, 2024
Sandra Leboeuf Individual Operational/Managerial Control May 9, 2014
Adp of the SNF May 9, 2014
Helene Bertazzo Individual Operational/Managerial Control Jan 12, 2020
Adp of the SNF Jan 12, 2020
Timothy Fowler Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Michael Delbrocco Individual Corporate OfficerChief Financial Officer Jun 29, 1994
Operational/Managerial Control Jun 29, 1994
Adp of the SNF Jun 29, 1994
Individual Adp of the SNF Apr 1, 2018
Individual Indirect Ownership Interest Apr 19, 2007
Kelsey Alvarez Individual Operational/Managerial Control Aug 30, 2021
Adp of the SNF Aug 30, 2021
Joe Reilly Individual Corporate DirectorBoard Member Mar 1, 2001
Operational/Managerial Control Mar 1, 2001
Managing Control - Governing BodyBoard Member Mar 1, 2001
Adp of the SNF Mar 1, 2001
Lillian T Dimaria Individual Corporate DirectorBoard Member-Carmelite Sister Mar 1, 2024
Operational/Managerial Control Mar 1, 2024
Managing Control - Governing BodyBoard Member-Carmelite Sister Mar 1, 2024
Adp of the SNF Mar 1, 2024
Lea M Wright Individual Operational/Managerial Control Dec 11, 2023
Adp of the SNF Dec 11, 2023
Cathleen Hans Individual Operational/Managerial Control Sep 7, 1999
Adp of the SNF Sep 7, 1999
Kathleen C Flynn Individual Operational/Managerial Control Apr 26, 2012
Adp of the SNF Apr 26, 2012
Michael Arcuri Individual Operational/Managerial Control Feb 10, 2025
Adp of the SNF Feb 10, 2025
Paul Montgomery Individual Corporate DirectorBoard Member Mar 1, 2022
Operational/Managerial Control Mar 1, 2022
Managing Control - Governing BodyBoard Member Mar 1, 2022
Adp of the SNF Mar 1, 2022
Paul Freemantle Individual Operational/Managerial Control Jul 5, 2022
Adp of the SNF Jul 5, 2022
Preferred Therapy Solutions LLC Organization, Wethersfield, CT LLC Operational/Managerial Control Aug 30, 2021
Adp of the SNF Apr 12, 2025
Angiola Antenucci Individual Corporate DirectorBoard Member Mar 1, 2023
Operational/Managerial Control Mar 1, 2023
Managing Control - Governing BodyBoard Member Mar 1, 2023
Adp of the SNF Mar 1, 2023
Eric Baumes Individual Operational/Managerial Control Jun 14, 1996
Adp of the SNF Jun 14, 1996
Spectrum Parent, Inc. Organization, Hunt Valley, MD LLC Operational/Managerial Control Oct 9, 2024
Adp of the SNF Apr 12, 2025
Individual Indirect Ownership Interest Dec 29, 2017
Jack Consiglio Individual Corporate DirectorBoard Member Mar 1, 2021
Operational/Managerial Control Mar 1, 2021
Managing Control - Governing BodyBoard Member Mar 1, 2021
Adp of the SNF Mar 1, 2021
Gerald Jennings Individual Corporate DirectorBoard Member Jun 1, 2015
Operational/Managerial Control Jun 1, 2015
Managing Control - Governing BodyBoard Member Jun 1, 2015
Adp of the SNF Jun 1, 2015
Kathryn Hawver Individual Operational/Managerial Control Sep 9, 1996
Adp of the SNF Sep 9, 1996
Joseph Gregory Individual Corporate DirectorBoard Member Mar 1, 2024
Operational/Managerial Control Mar 1, 2024
Managing Control - Governing BodyBoard Member Mar 1, 2024
Adp of the SNF Mar 1, 2024
Frank Yeboah Individual Corporate OfficerAdministrator Oct 12, 2020
Operational/Managerial ControlAdministrator Oct 12, 2020
Adp of the SNF Oct 12, 2020
Jodie Scott Individual Operational/Managerial Control Dec 27, 1993
Adp of the SNF Dec 27, 1993
Individual Adp of the SNF Apr 1, 2018
Luiz C Coelho Individual Operational/Managerial Control Aug 1, 2019
Adp of the SNF Aug 1, 2019
Coleen Austin Individual Operational/Managerial Control Mar 22, 2021
Adp of the SNF Mar 22, 2021
Edmond Marchi Individual Operational/Managerial Control May 21, 2024
Adp of the SNF May 21, 2024
Individual Indirect Ownership Interest Jan 31, 2021
Tammy Noel Individual Operational/Managerial Control Mar 20, 2023
Adp of the SNF Mar 20, 2023
Joann Duquette Individual Corporate DirectorBoard Member Mar 1, 2023
Operational/Managerial Control Mar 1, 2023
Managing Control - Governing BodyBoard Member Mar 1, 2023
Adp of the SNF Mar 1, 2023
Unidine Corporation Organization, Charlotte, NC Corporation Operational/Managerial Control Aug 30, 2021
Adp of the SNF Apr 12, 2025
Individual Adp of the SNF Apr 1, 2018
Bonadio & Co LLP Organization, Pittsford, NY Operational/Managerial Control Dec 1, 2022
Adp of the SNF Apr 12, 2025
Lissa McNaughton Individual Corporate DirectorBoard Member Mar 1, 2023
Operational/Managerial Control Mar 1, 2023
Managing Control - Governing BodyBoard Member Mar 1, 2023
Adp of the SNF Mar 1, 2023
Susan Delvecchio Individual Operational/Managerial Control Apr 10, 1984
Adp of the SNF Apr 10, 1984
Joan Hartigan Individual Corporate DirectorBoard Member-CSJ Mar 1, 2024
Operational/Managerial Control Mar 1, 2024
Managing Control - Governing BodyBoard Member -CSJ Mar 1, 2024
Adp of the SNF Mar 1, 2024
Harvey Bowks Individual Corporate DirectorBoard Member Jan 1, 2005
Operational/Managerial Control Jan 1, 2005
Managing Control - Governing BodyBoard Member Jan 1, 2005
Adp of the SNF Jan 1, 2005
Individual Indirect Ownership Interest Jan 1, 2015
James Morrell Individual Corporate DirectorBoard Member Mar 1, 2019
Operational/Managerial Control Mar 1, 2019
Managing Control - Governing BodyBoard Member Mar 1, 2019
Adp of the SNF Mar 1, 2019
Heather Sheldon Individual 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.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

Affiliated clinicians 4

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": "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

Verify at the official NPI Registry.