Active NPI
St. Joseph'S Home
- Skilled Nursing Facility
- Ogdensburg, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 4401300N
- Legal business name
- ST. JOSEPH'S HOME
- Practice address
- 950 Linden St
Ogdensburg, NY 13669-4472 - Phone
- (315) 393-3780
- Fax
- (315) 393-3847
- NPI assigned
- Jul 4, 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
- Colleen Elizabeth Steele, LNWA05362
- Title
- Administrator
- Phone
- (315) 393-3780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4401300N | NY | Primary |
Addresses
Primary practice location
950 Linden St
Ogdensburg, NY 13669-4472
Mailing address
950 Linden St
Ogdensburg, NY 13669-4472
Phone (315) 393-3780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 475609 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060719000048 | NY | Part A Provider - Skilled Nursing Facility | 8325051220 | Practice locations: Ogdensburg, NY |
Skilled nursing facility certification: CCN 335087
- Legal name
- ST. JOSEPH'S HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Mar 29, 2024
- Beds
- 82
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 30, 1960 in NY
- Enrollment address
- 950 Linden St
Ogdensburg, NY 13669-3399 - Nursing home name
- ST JOSEPHS HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- St Josephs Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 82
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 |
|---|---|---|---|
| 33D0692600 | St Joseph'S Home | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
950 Linden St
Ogdensburg, NY 13669
Phone (315) 393-3780
Ownership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Joanna Hollis | Corporate Director | Mar 27, 2019 | |
| Cathy Romano | Corporate Director | Mar 27, 2019 | |
| Joseph a Morgan | Corporate Director | Dec 1, 2014 | |
| Colleen E Steele | Corporate Officer | Aug 16, 2010 | 100% |
| W-2 Managing Employee | Dec 1, 2014 | ||
| Terry Lavalley | Corporate Director | Mar 28, 2006 | |
| Therese Kelly | Corporate Director | Dec 1, 2014 | |
| Curt Hammond | Corporate Director | Dec 1, 2014 | |
| Christopher J Laflair | Corporate Director | Dec 1, 2014 | |
| Michael Backus | Corporate Director | Mar 28, 2018 | |
| William Seymour | Corporate Director | Mar 28, 2006 | |
| Sister Shirley Brown | Corporate Director | Mar 28, 2012 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Morristown, NY
- NPI 1801824255
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": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711584000000",
"number": "1790715597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 LINDEN ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136694472",
"telephone_number": "315-393-3780",
"fax_number": "315-393-3847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 LINDEN ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136694472",
"telephone_number": "315-393-3780",
"fax_number": "315-393-3847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOSEPH'S HOME",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2024-03-28",
"status": "A",
"authorized_official_last_name": "STEELE",
"authorized_official_first_name": "COLLEEN",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "315-393-3780",
"authorized_official_credential": "LNWA05362"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "4401300N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "475609",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.