Schofield Residence Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1404904L Issued in NY

Legal business name

SCHOFIELD RESIDENCE INC.

Doing business as

Schofield Residence - LTHHCP

Practice address

2757 Elmwood Ave
Kenmore, NY 14217-1698

Phone

(716) 874-2600

Fax

(716) 873-2265

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Randy Gerlach

Title

President

Phone

(716) 874-1566

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Schofield Residence - LTHHCP Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Home health agency certification: CCN 337207

Legal name

SCHOFIELD RESIDENCE INC

Doing business as

SCHOFIELD CERTIFIED HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 9, 1985

Last certification

Nov 13, 2019

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Enrollment address

3333 Elmwood Ave
Kenmore, NY 14217-1013
HHA Branch

Other NPIs on the same Medicare enrollment 1

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

• Schofield Residence Inc.

  • Home Health Agency
  • Kenmore, NY
  • NPI 1467875450

  O20051208000621

  Same enrollment

Listed as

Schofield Certified Home CareCCN 337207

Overall star rating

3 of 5

Ownership

Non-Profit

Certified

May 9, 1985

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Schofield Residence Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Schofield Residence Inc.

  • Home Health Agency
  • Kenmore, NY
  • NPI 1154535540
  NPD tax ID
• Schofield Residence Inc.

  • Home Health Agency
  • Kenmore, NY
  • NPI 1427017946
  NPD tax ID
• Schofield Residence Inc.

  • Home Health Agency
  • Kenmore, NY
  • NPI 1467875450
  NPD tax ID
• Schofield Residence Inc.

  • Home Health Agency
  • Kenmore, NY
  • NPI 1558787762
  NPD tax ID

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.

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1821058108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171013",
            "telephone_number": "716-874-1566",
            "fax_number": "716-874-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171698",
            "telephone_number": "716-874-2600",
            "fax_number": "716-873-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOFIELD RESIDENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "GERLACH",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-874-1566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1404904L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "536000",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00891492",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8313853",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011419602",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schofield Residence - LTHHCP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schofield Residence - LTHHCP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Schofield Home Health Care Services, Inc.
• Schofield Residence Inc.
• Schofield Residence Inc.
• Schofield Residence Inc.
• Schofield Residence Inc.
• Christine Theresa Schultz Knox, AUD
• Heidi Schuster, OTR/L
• Julie Sciandra-Miller, P.T.
• Kaylee Marie Scicolone, LMHC, CASAC
• Pamela Leigh Scinta, COTA

• Home Health Agency in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.