Organization Active NPI

United Helpers Canton Nursing Home, Inc

  • Skilled Nursing Facility
  • Canton, NY
National Provider Identifier
1801882477
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
UNITED HELPERS CANTON NURSING HOME, INC
Doing business as
United Helpers Rehabilitation and Senior Care
Practice address
205 State Street Road
Canton, NY 13617
Phone
(315) 386-4541
Fax
(315) 386-2131
NPI assigned
Sep 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Kelly Lowery
Title
VP Finance
Phone
(315) 393-3074

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4420301N NY
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

205 State Street Road
Canton, NY 13617

Mailing address

205 State Street Road
Canton, NY 13617
Phone (315) 386-4541

Other identifiers 2

IdentifierTypeStateIssuer
00804797MedicaidNY
E0219250MedicaidNY

Other names 1

  • United Helpers Rehabilitation and Senior Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061101000368 NY Part A Provider - Skilled Nursing Facility 5294732418 1 other NPI on this enrollment
Practice locations: Canton, NY
O20171128000032 NY Part B Supplier - Clinic/Group Practice 5294732418 Receives reassigned benefits from 2 practitioners
Practice locations: Canton, NY

Skilled nursing facility certification: CCN 335566

Legal name
UNITED HELPERS CANTON NURSING HOME INC
Doing business as
UNITED HELPERS REHABILITATION & SENIOR CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1977
Last certification
Aug 9, 2024
Beds
160
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 22, 1981 in NY
Enrollment address
205 State Street Rd
Canton, NY 13617-3302
Nursing home name
UNITED HELPERS CANTON NURSING HOME

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
United Helpers Canton Nursing HomeCCN 335566 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
16089.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
United Helpers Canton Nursing Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 State Street Rd
Canton, NY 13617
Phone (315) 386-4541

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Darlene D Liscum Individual Corporate Director1St Vice President Jan 27, 2016
Edward Gordon Individual Corporate DirectorDirector Jan 1, 2021
Nancy Rehse Individual Corporate OfficerPresident Jan 27, 2016
Kelly S Lowery Individual Corporate OfficerVice President of Finance Sep 1, 2018 50%
W-2 Managing EmployeeVice President of Finance Sep 1, 2018 50%
Dallas Sutton Individual Corporate DirectorDirector Jan 1, 2021
Martha K Macarthur Individual Corporate DirectorDirector Jan 27, 2016
Francine Naccarato Individual Corporate OfficerSecretary/Treasure Jan 1, 2011
Ray Babowicz Individual Corporate Director2ND Vice President Jan 1, 2021
Todd R Amo Individual Corporate OfficerCeo May 28, 2021 50%
W-2 Managing EmployeeCeo May 28, 2021 50%
Richard Merchant Individual Corporate DirectorDirector Jan 1, 2021
Clara Carswell Individual Corporate DirectorDirector Jan 1, 2021
Susan Denesha Individual Corporate DirectorDirector Jan 1, 2021
United Helpers Management Company Inc Organization, Ogdensburg, NY Non-profit Operational/Managerial Control Oct 12, 1982 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northern Lights Home Health CareCanton, NY, CCN 337442 Home health agency Operational/Managerial Control Apr 5, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1801882477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 STATE STREET ROAD",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "13617",
            "telephone_number": "315-386-4541",
            "fax_number": "315-386-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 STATE STREET ROAD",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "13617",
            "telephone_number": "315-386-4541",
            "fax_number": "315-386-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HELPERS CANTON NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "315-393-3074"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "4420301N",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00804797",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E0219250",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Helpers Rehabilitation and Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, NY

Sources for this page

Verify at the official NPI Registry.