Trustees of the Eastern Star Hall and Home of the State of New York

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3239300N Issued in NY

Legal business name

TRUSTEES OF THE EASTERN STAR HALL AND HOME OF THE STATE OF NEW YORK

Practice address

8290 State Route 69
Oriskany, NY 13424-0959

Phone

(315) 736-9311

Fax

(315) 736-3047

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey French

Title

Administrator

Phone

(315) 736-9311

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Skilled nursing facility certification: CCN 335497

Legal name

TRUSTEES OF THE EASTERN STAR HALL AND HOME OF THE STATE OF NEW YORK

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1979

Last certification

Nov 8, 2024

Beds

86

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 28, 1977 in NY

Enrollment address

8290 State Route 69
Oriskany, NY 13424

Nursing home name

TRUSTEES OF EASTERN STAR HALL & HOME OF THE N Y S

Listed as

Trustees of Eastern Star Hall & Home of the N Y SCCN 335497 · All quality measures

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8677.1 residents per day on average

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 9

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.

• Jane Samson, MD

  • Family Medicine Physician
  • New Hartford, NY
  • NPI 1083718712
  Medicare reassignment NPD
• Jeffrey D Amidon, D.O.

  • Internal Medicine Physician
  • Rome, NY
  • NPI 1457492688
  NPD (past)
• Barbara L Jeffers, MD

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1770584138
  NPD (past)

Affiliated clinicians 1

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

• Jane Samson, MD

  • Family Medicine Physician
  • New Hartford, NY
  • NPI 1083718712

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1710993944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "address_2": "8290 STATE ROUTE 69",
            "city": "ORISKANY",
            "state": "NY",
            "postal_code": "134240959",
            "telephone_number": "315-736-9311",
            "fax_number": "315-736-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 STATE ROUTE 69",
            "city": "ORISKANY",
            "state": "NY",
            "postal_code": "134240959",
            "telephone_number": "315-736-9311",
            "fax_number": "315-736-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF THE EASTERN STAR HALL AND HOME OF THE STATE OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-736-9311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3239300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310494",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariana Pratt, LMSW
• Mackenzie Ann Reed, OD
• Dale Marie Romleski, LCAT
• Scott Alan Tanner, PHD
• Emina Tokalic
• Brian Patrick Vanvechten, LMSW
• Laurie A Zirilli, MA RD CDN

• Skilled Nursing Facility in Oriskany, NY
• Providers in Oriskany, 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 Sep 8, 2015; 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.