NPIMap

Organization Active NPI

Cuba Memorial Hospital Inc

  • Skilled Nursing Facility
  • Cuba, NY
National Provider Identifier
1689656852
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0226000N Issued in NY
Legal business name
CUBA MEMORIAL HOSPITAL INC
Practice address
140 W Main St
Cuba, NY 14727-1317
Phone
(585) 968-2000
Fax
(585) 968-2635
NPI assigned
Nov 15, 2005
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Norma Kerling
Title
Ceo
Phone
(585) 968-6751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0226000N NY Primary

Addresses

Primary practice location

140 W Main St
Cuba, NY 14727-1317

Mailing address

140 W Main St
Cuba, NY 14727-1317
Phone (585) 968-2000

Other identifiers 3

IdentifierTypeStateIssuer
00356134MedicaidNY
335364OtherPTAN
2059933OtherPK

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031121000363 NY Part B Supplier - Clinic/Group Practice 9133023146 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cuba, NY
O20050103000218 NY Part A Provider - Skilled Nursing Facility 9133023146 Practice locations: Cuba, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689656852. Details of each certification follow.

Skilled nursing facility certification: CCN 335364

Legal name
CUBA MEMORIAL HOSPITAL, INC.
Doing business as
CUBA MEMORIAL HOSPITAL (RPCH)
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1972
Last certification
May 17, 2024
Beds
61
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
140W Main St
Cuba, NY 14727-1398
Nursing home name
CUBA MEMORIAL HOSPITAL INC SNF

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cuba Memorial Hospital Inc SNFCCN 335364 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6151.9 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ub Rural HLTH Care Camp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Ruth Elizabeth Ireland Individual Corporate OfficerCeo Dec 1, 2024
Amy Black Individual Corporate DirectorBoard Member Feb 23, 2012 11.1%
Ralph Fox Individual Corporate DirectorBoard Treasurer Feb 23, 2012 11.1%
Hunter Hanner Kane Individual Corporate OfficerLTC Administrator Dec 1, 2024
Operational/Managerial Control Jan 16, 2025
Adp of the SNF Jan 16, 2025
Luke William Tackentien Individual Corporate Director Mar 1, 2017
Marjanne Kunz Individual Corporate Director Dec 3, 2015
Mark Rinker Individual Corporate Director Mar 1, 2017
Thomas Brown Individual Corporate DirectorBoard Chairman Feb 23, 2012 11.1%
Cuba Memorial Hospital, Inc. Organization, Cuba, NY Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
5% Or Greater Mortgage Interest Jan 1, 2013 100%
Operational/Managerial Control Jan 1, 2013 100%

Owners & managing parties with NPI records 3

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
Cuba Memorial Hospital (RPCH)Cuba, NY, CCN 33Z301 Hospital 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Mortgage Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013
Jan 1, 2013

Owned or controlled facilities with NPI records 1

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

  • Cuba Memorial Hospital, Inc.
    • Medicare Defined Swing Bed Hospital Unit
    • Cuba, NY
    • NPI 1770738791

    5% Or Greater Direct Ownership Interest, 5% Or Greater Mortgage Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 9

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.

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": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1689656852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147271317",
            "telephone_number": "585-968-2000",
            "fax_number": "585-968-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147271317",
            "telephone_number": "585-968-2000",
            "fax_number": "585-968-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUBA MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "KERLING",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-968-6751"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0226000N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356134",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "335364",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2059933",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuba, NY

Sources for this page

Verify at the official NPI Registry.