Active NPI
United Helpers Canton Nursing Home, Inc
- Skilled Nursing Facility
- Canton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00804797 | Medicaid | NY | |
| E0219250 | Medicaid | NY |
Other names 1
- United Helpers Rehabilitation and Senior Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
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
- Corporation
- 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).
-
- Physical Therapy Clinic/Center
- Canton, NY
- NPI 1437242468
5294732418
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapy Clinic/Center
- Canton, NY
- NPI 1437242468
O20061101000368
Care Compare: Nursing home
Medicare Care Compare- Listed as
- United Helpers Canton Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1977
- Medicare certification status
- Active
- Certified beds
- 160
National Provider Directory
National Provider Directory- Tax ID family
- United Helpers Canton Nursing Home Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Canton, NY
- NPI 1033448287
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Darlene D Liscum | Corporate Director | Jan 27, 2016 | |
| Edward Gordon | Corporate Director | Jan 1, 2021 | |
| Nancy Rehse | Corporate Officer | Jan 27, 2016 | |
| Kelly S Lowery | Corporate Officer | Sep 1, 2018 | 50% |
| W-2 Managing Employee | Sep 1, 2018 | 50% | |
| Dallas Sutton | Corporate Director | Jan 1, 2021 | |
| Martha K Macarthur | Corporate Director | Jan 27, 2016 | |
| Francine Naccarato | Corporate Officer | Jan 1, 2011 | |
| Ray Babowicz | Corporate Director | Jan 1, 2021 | |
| Todd R Amo | Corporate Officer | May 28, 2021 | 50% |
| W-2 Managing Employee | May 28, 2021 | 50% | |
| Richard Merchant | Corporate Director | Jan 1, 2021 | |
| Clara Carswell | Corporate Director | Jan 1, 2021 | |
| Susan Denesha | Corporate Director | Jan 1, 2021 | |
| United Helpers Management Company Inc | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Northern Lights Home Health Care | 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.
-
- Home Health Agency
- Canton, NY
- NPI 1881037604
Operational/Managerial Control
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Home Health Agency
- Canton, NY
- NPI 1881037604
United Helpers Management Company Inc
-
- Physical Therapy Clinic/Center
- Canton, NY
- NPI 1437242468
United Helpers Management Company Inc
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Canton, NY
- NPI 1912491374
-
- Family Medicine Physician
- Canton, NY
- NPI 1558372086
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
- United Cerebral Palsy Association of the North Country
- United Cerebral Palsy Association of the North Country Inc
- United Cerebral Palsy Association of the North Country, Inc.
- United Helpers Canton Nursing Home, Inc
- United Helpers Canton Nursing Home, Inc
- United Helpers Care Inc
- United Helpers Residence Inc
- Nicholas Matthew Usuriello, ATC
- Gregory Utter, RN
- Pamela Lynn Valley, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.