Active NPI
St. Ann's Nursing Home Company, Inc
- Skilled Nursing Facility
- Webster, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ST. ANN'S NURSING HOME COMPANY, INC
- Practice address
- 920 Cherry Ridge Blvd
Webster, NY 14580-4801 - Phone
- (585) 697-6337
- Fax
- (585) 544-4226
- NPI assigned
- Jun 26, 2006
- 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
- Dennis Kant
- Title
- Cfo
- Phone
- (585) 697-6307
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2757301N | NY | |
| Skilled Nursing Facility | 314000000X | NY | Primary |
Addresses
Primary practice location
920 Cherry Ridge Blvd
Webster, NY 14580-4801
Mailing address
1500 Portland Avenue
Rochester, NY 14621
Phone (585) 697-6337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 353815 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
Skilled nursing facility certification: CCN 335730
- Legal name
- ST ANNS NURSING HOME COMPANY, INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 20, 1992
- Last certification
- May 8, 2024
- Beds
- 72
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 1, 1971 in NY
- Enrollment address
- 920 Cherry Ridge Blvd
Webster, NY 14580-4801 - Nursing home name
- ST. ANN'S COMMUNITY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- St. Ann's Community
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 20, 1992
- Medicare certification status
- Active
- Certified beds
- 72
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 |
|---|---|---|---|
| 33D2234184 | St Ann's Nursing Home Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 27
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 |
|---|---|---|---|
| Deborah Schauseil | Managing Control - Governing Body | Mar 29, 2017 | |
| Adp of the SNF | Mar 29, 2017 | ||
| Bridgette a Wiefling | Managing Control - Governing Body | Mar 31, 2020 | |
| Adp of the SNF | Mar 31, 2020 | ||
| Anna E. Lynch | Managing Control - Governing Body | Mar 25, 2018 | |
| Adp of the SNF | Mar 25, 2015 | ||
| Rene N Barnes | Operational/Managerial Control | Feb 22, 2016 | |
| Adp of the SNF | Feb 22, 2016 | ||
| Patricia Rissone | Managing Control - Governing Body | Mar 20, 2019 | |
| Adp of the SNF | Mar 20, 2019 | ||
| Stephen Salluzzo | Managing Control - Governing Body | Feb 19, 2025 | |
| Adp of the SNF | Feb 19, 2025 | ||
| Robert Schrader | Managing Control - Governing Body | Mar 31, 2020 | |
| Adp of the SNF | Mar 31, 2020 | ||
| Kevin Brown | Corporate Officer | Feb 27, 2023 | |
| Adp of the SNF | Feb 27, 2023 | ||
| Mary Lou Mitchell | Managing Control - Governing Body | Apr 24, 2024 | |
| Adp of the SNF | Apr 24, 2024 | ||
| Patrick C Burke | Managing Control - Governing Body | Sep 21, 2022 | |
| Adp of the SNF | Sep 21, 2022 | ||
| Robert Bourg | Corporate Officer | Jul 1, 2010 | |
| Adp of the SNF | Jul 1, 2010 | ||
| James Schnell | Managing Control - Governing Body | Mar 26, 2025 | |
| Adp of the SNF | Mar 26, 2025 | ||
| Cheryl Ryan | Managing Control - Governing Body | Mar 26, 2014 | |
| Adp of the SNF | Mar 26, 2014 | ||
| John Hayes | Managing Control - Governing Body | Mar 28, 2018 | |
| Adp of the SNF | Mar 28, 2018 | ||
| Angela Sims | Managing Control - Governing Body | Apr 26, 2023 | |
| Adp of the SNF | Apr 26, 2023 | ||
| Joseph Wesley | Managing Control - Governing Body | Mar 31, 2020 | |
| Adp of the SNF | Mar 31, 2020 | ||
| Jason Socola | Managing Control - Governing Body | Mar 26, 2025 | |
| Adp of the SNF | Mar 26, 2025 | ||
| Michael McRae | Corporate Officer | Sep 7, 2010 | |
| Operational/Managerial Control | Sep 1, 2010 | ||
| Adp of the SNF | Sep 7, 2010 | ||
| Ronald Salluzzo | Managing Control - Governing Body | Mar 30, 2016 | |
| Adp of the SNF | Mar 30, 2016 | ||
| Daniel Adams | Managing Control - Governing Body | Mar 20, 2019 | |
| Adp of the SNF | Mar 20, 2019 | ||
| Mazie Tai | Managing Control - Governing Body | Mar 26, 2025 | |
| Adp of the SNF | Mar 26, 2025 | ||
| Thomas Tehan | Managing Control - Governing Body | Mar 26, 2025 | |
| Adp of the SNF | Mar 26, 2025 | ||
| Carmen Indiano | Managing Control - Governing Body | Mar 29, 2017 | |
| Adp of the SNF | Mar 29, 2017 | ||
| Richard Vander Horst | Managing Control - Governing Body | Apr 26, 2023 | |
| Adp of the SNF | Apr 26, 2023 | ||
| Kim K Petrone | Operational/Managerial Control | Feb 9, 2018 | |
| Adp of the SNF | Feb 9, 2018 | ||
| Lucas Morris | Managing Control - Governing Body | Apr 24, 2024 | |
| Adp of the SNF | Apr 24, 2024 | ||
| Nicole Marro | Managing Control - Governing Body | Apr 24, 2024 | |
| Adp of the SNF | Apr 24, 2024 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1518946599
Adp of the SNF, Operational/Managerial Control
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1265545693
Adp of the SNF, Managing Control - Governing Body
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Rochester, NY
- NPI 1518421510
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1518946599
-
- Adult Health Nurse Practitioner
- Rochester, NY
- NPI 1265918395
-
- Family Nurse Practitioner
- Binghamton, NY
- NPI 1538541925
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1437545936
-
- Family Medicine Physician
- Rochester, NY
- NPI 1457580532
-
- Physician Assistant
- Rochester, NY
- NPI 1831529304
-
- Family Medicine Physician
- Rochester, NY
- NPI 1609978253
-
- Family Nurse Practitioner
- Rochester, NY
- NPI 1073878310
-
- Family Nurse Practitioner
- Rochester, NY
- NPI 1689960726
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": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606089600000",
"number": "1740216050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 PORTLAND AVENUE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14621",
"telephone_number": "585-697-6337",
"fax_number": "585-544-4226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 CHERRY RIDGE BLVD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145804801",
"telephone_number": "585-697-6337",
"fax_number": "585-544-4226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. ANN'S NURSING HOME COMPANY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-26",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A",
"authorized_official_last_name": "KANT",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "585-697-6307"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "2757301N",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "353815",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.