Active NPI
Glens Falls Crossings LLC
- Skilled Nursing Facility
- Glens Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GLENS FALLS CROSSINGS LLC
- Practice address
- 170 Warren Street
Glens Falls, NY 12801 - Phone
- (518) 793-5163
- NPI assigned
- May 15, 2007
- Last updated
- Jun 25, 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
- Lorry Cornelio
- Title
- Director of Accounts Receivables
- Phone
- (518) 793-5163
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
170 Warren Street
Glens Falls, NY 12801
Mailing address
170 Warren Street
Glens Falls, NY 12801
Phone (518) 793-5163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003122221 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070828000272 | NY | Part A Provider - Skilled Nursing Facility | 0143312736 | Practice locations: Glens Falls, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1619183571. Details of each certification follow.
Skilled nursing facility certification: CCN 335325
- Legal name
- GLENS FALLS CROSSINGS LLC
- Doing business as
- THE PINES AT GLENS FALL CENTER FOR NURSING AND REHABILITIATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1971
- Last certification
- Mar 22, 2023
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Apr 10, 2008 in NY
- Enrollment address
- 170 Warren St
Glens Falls, NY 12801-4525 - Nursing home name
- THE PINES AT GLENS FALLS CTR FOR NURSING & REHAB
- Affiliated entity
- NATIONAL HEALTH CARE ASSOCIATES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Pines at Glens Falls Ctr for Nursing & Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 1, 1971
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- National Health Care Associates
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 |
|---|---|---|---|
| 33D0671460 | Glens Falls Crossings Inc Dba the Pines at Glens | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Michael Lipman | 5% Or Greater Direct Ownership Interest | May 1, 2008 | 5% |
| Magda Manela | 5% Or Greater Direct Ownership Interest | May 1, 2008 | 5% |
| Marc E Ostreicher | Operational/Managerial Control | May 1, 2008 | 3.54% |
| David Cohen | 5% Or Greater Direct Ownership Interest | May 1, 2008 | 6.67% |
| Laurence Roberts | 5% Or Greater Direct Ownership Interest | May 1, 2008 | 6.67% |
| Chrstopher Alexander | W-2 Managing Employee | Mar 26, 2014 | |
| Susan Ostreicher | 5% Or Greater Direct Ownership Interest | May 1, 2008 | 17.84% |
| Other | May 1, 2008 | 17.84% | |
| Nechama Biderman | 5% Or Greater Direct Ownership Interest | May 1, 2008 | 6.67% |
| Morris Fuchs | 5% Or Greater Direct Ownership Interest | May 1, 2008 | 8.33% |
| Tzivy Roberts | 5% Or Greater Direct Ownership Interest | Mar 20, 2014 | 6.67% |
| Chaim Goldenberg | 5% Or Greater Direct Ownership Interest | May 1, 2008 | 5% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Dermatology Physician
- Hewlett, NY
- NPI 1013994839
5% Or Greater Direct Ownership Interest
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.
-
- Family Medicine Physician
- North Creek, NY
- NPI 1710202544
-
- Family Medicine Physician
- Glens Falls, NY
- NPI 1396795118
Affiliated clinicians 3
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": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435190400000",
"number": "1619183571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 WARREN STREET",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-793-5163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 WARREN STREET",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-793-5163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENS FALLS CROSSINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2015-06-25",
"status": "A",
"authorized_official_last_name": "CORNELIO",
"authorized_official_first_name": "LORRY",
"authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLES",
"authorized_official_telephone_number": "518-793-5163"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003122221",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.