Albany County Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0153302N Issued in NY

Legal business name

ALBANY COUNTY NURSING HOME

Practice address

780 Albany Shaker Rd
Albany, NY 12211-1055

Phone

(518) 869-2231

Fax

(518) 869-1290

NPI assigned

Jul 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward Morache

Title

Executive Director

Phone

(518) 869-2231

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801815915. Details of each certification follow.

• CCN 335425 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335425

Legal name

COUNTY OF ALBANY DEPARTMENT OF HEALTH

Doing business as

SHAKER PLACE REHABILIATION AND NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1974

Last certification

Oct 10, 2023

Beds

250

Ownership / control type

County

Organization structure

CorporationNon-profit

Incorporated

Jan 1, 1973 in NY

Enrollment address

100 Heritage LN
Albany, NY 12211-1006

Nursing home name

SHAKER PLACE REHABILITATION AND NURSING CENTER

Other NPIs on the same Medicare enrollment 1

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

• Albany County

  • Skilled Nursing Facility
  • Albany, NY
  • NPI 1952309536

  O20111102000023

  Same enrollment

Listed as

Shaker Place Rehabilitation and Nursing CenterCCN 335425 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Nov 1, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

250243.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 2

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 4

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

• Albany County

  • Adult Mental Health Clinic/Center
  • Albany, NY
  • NPI 1245399351

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

  CMS ownership
• Albany County

  • Land Ambulance
  • Clarksville, NY
  • NPI 1356570592

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

  CMS ownership
• Albany County

  • Skilled Nursing Facility
  • Albany, NY
  • NPI 1952309536

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

  CMS ownership
• County of Albany Department of Health

  • Public Health or Welfare Agency
  • Albany, NY
  • NPI 1851401186

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

  CMS ownership

Affiliated clinicians 1

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

• Patrick F Caulfield, M.D.

  • Family Medicine Physician
  • Ravena, NY
  • NPI 1992880348

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801815915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ALBANY SHAKER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122111055",
            "telephone_number": "518-869-2231",
            "fax_number": "518-869-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ALBANY SHAKER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122111055",
            "telephone_number": "518-869-2231",
            "fax_number": "518-869-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY COUNTY NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORACHE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-869-2231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0153302N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albany County
• Albany County Department for Children Youth and Families
• Albany County Department for Children Youth and Families
• Albany County Mental Health
• Albany County Mental Health
• Albany Dental Care, P.C.
• Albany Emergency Medicine Associates, PC
• Albany ENT & Allergy Services PC
• Albany Eye Associates Physicians & Surgeons PC (The Eye Center at Memorial)
• Albany Family Foot and Ankle Services PC

• Skilled Nursing Facility in Albany, NY
• Providers in Albany, 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 Aug 22, 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.

Verify at the official NPI Registry.