Active NPI
Highland Nursing Home, Inc.
- Skilled Nursing Facility
- Massena, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 4402300N
- Legal business name
- HIGHLAND NURSING HOME, INC.
- Doing business as
- North Country Nursing & Rehabilitation Center
- Practice address
- 182 Highland Rd
Massena, NY 13662-3281 - Phone
- (315) 769-9956
- Fax
- (315) 769-9955
- NPI assigned
- Nov 8, 2005
- 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
- Menajem Salamon
- Title
- Ceo
- Phone
- (718) 882-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4402300N | NY | Primary |
Addresses
Primary practice location
182 Highland Rd
Massena, NY 13662-3281
Mailing address
182 Highland Rd
Massena, NY 13662-3281
Phone (315) 769-9956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00565119 | Medicaid | NY |
Other names 1
- North Country Nursing & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080904000159 | NY | Part A Provider - Skilled Nursing Facility | 0749356475 | Practice locations: Massena, NY |
Skilled nursing facility certification: CCN 335619
- Legal name
- HIGHLAND NURSING HOME, INC.
- Doing business as
- NORTH COUNTRY NURSING & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1978
- Last certification
- Dec 15, 2023
- Beds
- 140
- Ownership / control type
- Partnership
- Organization structure
- Corporation
- Incorporated
- Jan 3, 1974 in NY
- Enrollment address
- 182 Highland Rd
Massena, NY 13662-3281 - Nursing home name
- NORTH COUNTRY NURSING & REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- North Country Nursing & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Jan 1, 1978
- Medicare certification status
- Active
- Certified beds
- 140
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 |
|---|---|---|---|
| 33D0717544 | Highland Nursing Home Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
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 |
|---|---|---|---|
| Jonathan Gewirtz | Corporate Director | Aug 1, 2019 | 15% |
| Operational/Managerial Control | Aug 1, 2019 | 15% | |
| Yossi Mayer | 5% Or Greater Direct Ownership Interest | Dec 20, 2023 | 5% |
| Neil J Cichetti | Operational/Managerial Control | Jan 1, 2023 | 10% |
| Tirtza Salamon | 5% Or Greater Direct Ownership Interest | Dec 20, 2023 | 1% |
| Mordejai Salamon | 5% Or Greater Direct Ownership Interest | Dec 20, 2023 | 17% |
| Corporate Officer | Dec 20, 2023 | 15% | |
| Corporate Director | Dec 20, 2023 | 15% | |
| Blimie Pearlstein | 5% Or Greater Direct Ownership Interest | Dec 20, 2023 | 5% |
| Joseph Landa | 5% Or Greater Direct Ownership Interest | Dec 20, 2023 | 13.75% |
| Corporate Officer | Dec 20, 2023 | 15% | |
| Corporate Director | Dec 20, 2023 | 15% | |
| Rean D Enriquez | Operational/Managerial Control | Mar 4, 2024 | 25% |
| Joshua Landa | 5% Or Greater Direct Ownership Interest | Dec 20, 2023 | 13.75% |
| Menajem Salamon | 5% Or Greater Direct Ownership Interest | Dec 20, 2023 | 35% |
| Corporate Officer | Dec 20, 2023 | 25% | |
| Corporate Director | Dec 20, 2023 | 25% | |
| Operational/Managerial Control | May 31, 2019 | ||
| Suri Reich | 5% Or Greater Direct Ownership Interest | Dec 20, 2023 | 5% |
| Helen Majerovic | 5% Or Greater Direct Ownership Interest | Dec 20, 2023 | 4.5% |
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
- Massena, NY
- NPI 1588679989
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Massena, NY
- NPI 1578578977
-
- Internal Medicine Physician
- Massena, NY
- NPI 1588679989
-
- Internal Medicine Physician
- Massena, NY
- NPI 1740240282
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": "1131408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633478400000",
"number": "1659352599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 HIGHLAND RD",
"city": "MASSENA",
"state": "NY",
"postal_code": "136623281",
"telephone_number": "315-769-9956",
"fax_number": "315-769-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 HIGHLAND RD",
"city": "MASSENA",
"state": "NY",
"postal_code": "136623281",
"telephone_number": "315-769-9956",
"fax_number": "315-769-9955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND NURSING HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-08",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A",
"authorized_official_last_name": "SALAMON",
"authorized_official_first_name": "MENAJEM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-882-6400"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "4402300N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00565119",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Country Nursing & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Massena, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.