NPIMap

Organization Active NPI

County of Chemung

  • Skilled Nursing Facility
  • Elmira, NY
National Provider Identifier
1629063573
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0701301N Issued in NY
Legal business name
COUNTY OF CHEMUNG
Practice address
103 Washington St
Elmira, NY 14901-3220
Phone
(607) 737-2001
Fax
(607) 734-3021
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Authorized official

Name
Mr. Michael C Youmans, LNHA
Title
Administrator
Phone
(607) 737-2068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0701301N NY Primary

Addresses

Primary practice location

103 Washington St
Elmira, NY 14901-3220

Mailing address

103 Washington St
Elmira, NY 14901-3220
Phone (607) 737-2001

Other identifiers 1

IdentifierTypeStateIssuer
00365884MedicaidNY

Other names 1

  • Chemung County Nursing Facility Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051107000203 NY Part A Provider - Skilled Nursing Facility 4688692874 Practice locations: Elmira, NY
O20170302000950 NY Part B Supplier - Clinic/Group Practice 4688692874 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elmira, NY

Skilled nursing facility certification: CCN 335480

Legal name
COUNTY OF CHEMUNG
Doing business as
CHEMUNG COUNTY NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1976
Last certification
Sep 22, 2023
Beds
200
Ownership / control type
County
Organization structure
GovernmentNon-profit
Enrollment address
103 Washington St.
Elmira, NY 14901-3220
Nursing home name
CHEMUNG COUNTY HEALTH CENTER - NURSING FACILITY

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Chemung County Health Center - Nursing FacilityCCN 335480
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Mar 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200151.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Meghan Rose Individual Corporate OfficerDirector of Finance Jan 1, 2023
Corporate DirectorDirector of Finance Jan 1, 2023
W-2 Managing EmployeeDirector of Finance Jan 1, 2023
Roberto Mauri Individual Contracted Managing EmployeeMD; Jan 1, 2025
Adp of the SNF Jan 21, 2025
County of Chemung Organization, Elmira, NY Operational/Managerial Control Nov 6, 2008 100%
Billee Hadar Individual W-2 Managing EmployeeAd; Jan 1, 2025 5%
Adp of the SNF Jan 21, 2025

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chemung County Department of Health Home Health AgencyElmira, NY, CCN 337003 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1987

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1629063573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WASHINGTON ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013220",
            "telephone_number": "607-737-2001",
            "fax_number": "607-734-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WASHINGTON ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013220",
            "telephone_number": "607-737-2001",
            "fax_number": "607-734-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHEMUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "YOUMANS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "607-737-2068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0701301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00365884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chemung County Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.