Active NPI
Presbyterian Home for Central New York Inc
- Skilled Nursing Facility
- New Hartford, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3227303N
- Legal business name
- PRESBYTERIAN HOME FOR CENTRAL NEW YORK INC
- Practice address
- 4290 Middle Settlement Rd
New Hartford, NY 13413-5314 - Phone
- (315) 797-7500
- Fax
- (315) 797-4547
- NPI assigned
- Sep 25, 2006
- 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
- Mr. Anthony E Joseph
- Title
- Administrator
- Phone
- (315) 272-2201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3227303N | NY | Primary |
Addresses
Primary practice location
4290 Middle Settlement Rd
New Hartford, NY 13413-5314
Mailing address
PO Box 1144
New Hartford, NY 13413-0710
Phone (315) 797-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00316789 | 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 |
|---|---|---|---|---|
| O20070319000358 | NY | Part A Provider - Skilled Nursing Facility | 2466555164 | Practice locations: New Hartford, NY |
Skilled nursing facility certification: CCN 335546
- Legal name
- PRESBYTERIAN HOME FOR CENTRAL NEW YORK INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1976
- Last certification
- Apr 26, 2024
- Beds
- 242
- Ownership / control type
- Church Related
- Organization structure
- Corporation
- Incorporated
- Aug 15, 1963 in NY
- Enrollment address
- 4290 Middle Settlement Rd
New Hartford, NY 13413-5314 - Nursing home name
- PRESBYTERIAN HOME FOR CENTRAL NEW YORK INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Presbyterian Home for Central New York Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Oct 1, 1976
- Medicare certification status
- Active
- Certified beds
- 242
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Presbyterian Homes & Services Inc. | 5% Or Greater Direct Ownership Interest | Aug 15, 1963 | |
| Jay Williams | Corporate Officer | Jan 1, 2018 | |
| Patricia Pitcher | Corporate Director | Apr 1, 2021 | |
| Jeremy D Rutter | Corporate Officer | Nov 1, 2021 | |
| Operational/Managerial Control | Nov 1, 2021 | ||
| Adp of the SNF | Nov 20, 2021 | ||
| Marie Abraham | Corporate Director | Jan 1, 2018 | |
| Roger Williams | Corporate Director | Apr 1, 2014 | |
| Kevin Graham | Operational/Managerial Control | Feb 2, 2025 | |
| Adp of the SNF | Feb 2, 2025 | ||
| Jerry Burke | Corporate Officer | Jan 1, 2018 | |
| Hamerton David Jeanty | Operational/Managerial Control | Jan 1, 2020 | |
| Adp of the SNF | Oct 30, 2025 | ||
| Robert Ohmann | Corporate Director | Jan 1, 2018 | |
| Jeff Kane | Corporate Director | Jan 1, 2018 | |
| Julianne Breen | Corporate Officer | Jan 1, 2020 | |
| Rick Riggle | Corporate Director | Jan 1, 2018 | |
| Deborah Mills | Corporate Director | Jul 1, 2016 | |
| Linda Voce | Corporate Officer | Jan 1, 2012 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Utica, NY
- NPI 1215297882
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Utica, NY
- NPI 1215297882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1649370990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1144",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134130710",
"telephone_number": "315-797-7500",
"fax_number": "315-797-4547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4290 MIDDLE SETTLEMENT RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134135314",
"telephone_number": "315-797-7500",
"fax_number": "315-797-4547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESBYTERIAN HOME FOR CENTRAL NEW YORK INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "315-272-2201",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "3227303N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00316789",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hartford, NY
- Laurie Porreca, LMSW
- Caitlin Powers, PT
- Christopher Paul Powers, DPM
- Clarissa Powers
- Allysa Prashad, MD
- Presbyterian Home for Central New York, Inc.
- Presbyterian Residential Community, Inc.
- Presbyterian Residential Community, Inc.
- Presbyterian Residential Community, Inc.
- Presbyterian Residential Community, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.