Conesus Lake Nursing Home, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2525300 Issued in NY

Legal business name

CONESUS LAKE NURSING HOME, LLC

Doing business as

Conesus Lake Nursing Home

Practice address

6131 Big Tree Rd
Livonia, NY 14487-9608

Phone

(585) 346-3001

Fax

(585) 346-6637

NPI assigned

Jun 15, 2005

Last updated

Oct 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dennis L Mart

Title

Cfo

Phone

(585) 244-0410

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Conesus Lake Nursing Home Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669477873. Details of each certification follow.

• CCN 335069 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335069

Legal name

CONESUS LAKE NURSING HOME, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 16, 1968

Last certification

Apr 23, 2025

Beds

48

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Hurlbut Care Communitites

Most recent change of ownership

Apr 1, 2007

Organization structure

LLCProprietary

Incorporated

Apr 1, 2007 in NY

Enrollment address

6131 Big Tree Rd
Livonia, NY 14487-9608

Nursing home name

CONESUS LAKE NURSING HOME, LLC

Affiliated entity

HURLBUT CARE

Listed as

Conesus Lake Nursing Home, LLCCCN 335069 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 16, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4844.9 residents per day on average

Chain

Hurlbut Care13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Practitioners 3

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.

• Michael J Brodowski, M.D.

  • Internal Medicine Physician
  • East Syracuse, NY
  • NPI 1902896012
  NPD (past)
• Michael Henry Kueker, MD

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1013414986
  NPD (past)
• Vincent Mark Yavorek, M.D.

  • Family Medicine Physician
  • Canandaigua, NY
  • NPI 1558465237
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael J Brodowski, M.D.

  • Internal Medicine Physician
  • East Syracuse, NY
  • NPI 1902896012

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1669477873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072107",
            "telephone_number": "585-244-0410",
            "fax_number": "585-244-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 BIG TREE RD",
            "city": "LIVONIA",
            "state": "NY",
            "postal_code": "144879608",
            "telephone_number": "585-346-3001",
            "fax_number": "585-346-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONESUS LAKE NURSING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "MART",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "585-244-0410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2525300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355440",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conesus Lake Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michael James Cendoma, ATC
• Sherry Chastain, B.S. L.M.T.
• Barbara A Clar-Przysinda, LPN
• Cameron Copeland
• Sandra Jean Eleczko
• Kimberly Feenaughty, LPN
• Jennifer Lynn Fitzgerald, OTR
• Corinne Fox, REGISTERED NURSE

• Skilled Nursing Facility in Livonia, NY
• Providers in Livonia, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.

Verify at the official NPI Registry.