Organization Active NPI

Highland Nursing Home, Inc.

  • Skilled Nursing Facility
  • Massena, NY
National Provider Identifier
1659352599
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4402300N Issued in NY
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

Updated by the provider on Oct 6, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00565119MedicaidNY

Other names 1

  • North Country Nursing & Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CenterCCN 335619 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jan 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140127.7 residents per day on average

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
33D0717544Highland Nursing Home Inc182 Highland Rd, Massena, NY 13662Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Jonathan Gewirtz Individual Corporate DirectorController Aug 1, 2019 15%
Operational/Managerial ControlController Aug 1, 2019 15%
Yossi Mayer Individual 5% Or Greater Direct Ownership Interest Dec 20, 2023 5%
Neil J Cichetti Individual Operational/Managerial ControlMedical Director Jan 1, 2023 10%
Tirtza Salamon Individual 5% Or Greater Direct Ownership Interest Dec 20, 2023 1%
Mordejai Salamon Individual 5% Or Greater Direct Ownership InterestVice President Dec 20, 2023 17%
Corporate OfficerVice President Dec 20, 2023 15%
Corporate Director Dec 20, 2023 15%
Blimie Pearlstein Individual 5% Or Greater Direct Ownership Interest Dec 20, 2023 5%
Joseph Landa Individual 5% Or Greater Direct Ownership Interest Dec 20, 2023 13.75%
Corporate OfficerSecretary and Treasurer Dec 20, 2023 15%
Corporate Director Dec 20, 2023 15%
Rean D Enriquez Individual Operational/Managerial ControlAdministrator Mar 4, 2024 25%
Joshua Landa Individual 5% Or Greater Direct Ownership Interest Dec 20, 2023 13.75%
Menajem Salamon Individual 5% Or Greater Direct Ownership Interest Dec 20, 2023 35%
Corporate OfficerPresident Dec 20, 2023 25%
Corporate DirectorPresident Dec 20, 2023 25%
Operational/Managerial ControlChief Executive Officer May 31, 2019
Suri Reich Individual 5% Or Greater Direct Ownership Interest Dec 20, 2023 5%
Helen Majerovic Individual 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.

Practitioners & affiliated clinicians

Practitioners 3

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

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

Verify at the official NPI Registry.