Penn Yan Manor Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

6120300N Issued in NY

Legal business name

PENN YAN MANOR NURSING HOME, INC.

Practice address

655 Liberty St
Penn Yan, NY 14527-1086

Phone

(315) 536-2311

Fax

(315) 536-1033

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Jessica Fish

Title

Fiscal Manager

Phone

(315) 536-2311

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335494

Legal name

PENN YAN MANOR NURSING HOME, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1976

Last certification

Apr 25, 2024

Beds

46

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

May 13, 1969 in NY

Enrollment address

655 Liberty St
Penn Yan, NY 14527-1048

Nursing home name

PENN YAN MANOR NURSING HOME INC

Listed as

Penn Yan Manor Nursing Home IncCCN 335494 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4643.9 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 4

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jason S Feinberg, M.D.

  • Internal Medicine Physician
  • Geneva, NY
  • NPI 1417046103

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

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

• Jason S Feinberg, M.D.

  • Internal Medicine Physician
  • Geneva, NY
  • NPI 1417046103
  NPD (past)
• Lois V. Howard, NP

  • Adult Health Nurse Practitioner
  • Penn Yan, NY
  • NPI 1336363308
  NPD (past)

Affiliated clinicians 1

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

• Jason S Feinberg, M.D.

  • Internal Medicine Physician
  • Geneva, NY
  • NPI 1417046103

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1760476568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 LIBERTY ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271086",
            "telephone_number": "315-536-2311",
            "fax_number": "315-924-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 LIBERTY ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271086",
            "telephone_number": "315-536-2311",
            "fax_number": "315-536-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN YAN MANOR NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "315-536-2311"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "6120300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PFI",
            "identifier": "1162",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355711",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE",
            "identifier": "6120300N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Pallar
• Norene M. Parkhurst, LPN
• Rachael Patten, LMSW
• Penn Yan Area Volunteer Ambulance Corps Inc
• Penn Yan Central School
• Penn Yan Optometry PC
• Penn Yan Physical Therapy P.C.
• Anthony J Petrucci, P.T.
• Danielle Pfeiffer, LMSW
• Ross Spencer Phippen Jr., DMD

• Skilled Nursing Facility in Penn Yan, NY
• Providers in Penn Yan, 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 Jun 12, 2025; 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.