NPIMap

Organization Active NPI

Chittenango Center LLC

  • Skilled Nursing Facility
  • Chittenango, NY
National Provider Identifier
1851615942
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHITTENANGO CENTER LLC
Practice address
331 Russell St
Chittenango, NY 13037-1201
Phone
(315) 687-7255
NPI assigned
Mar 18, 2010
Last updated
Oct 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Jeremy Struass
Title
Ceo
Phone
(718) 215-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

331 Russell St
Chittenango, NY 13037-1201

Mailing address

1720 Whitestone Expy
Whitestone, NY 11357-3065
Phone (718) 215-6000

Other identifiers 1

IdentifierTypeStateIssuer
00356354MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100331000053 NY Part A Provider - Skilled Nursing Facility 0446386379 Practice locations: Chittenango, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851615942. Details of each certification follow.

Skilled nursing facility certification: CCN 335588

Legal name
CHITTENANGO CENTER LLC
Doing business as
THE GRAND REHABILITATION AND NURSING AT CHITTENANGO
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1977
Last certification
Jan 26, 2024
Beds
80
Ownership / control type
Individual
Multi-facility organization
The Grand Healthcare
Organization structure
LLCProprietary
Incorporated
Feb 15, 2008 in NY
Enrollment address
331 Russell St
Chittenango, NY 13037-1201
Nursing home name
THE GRAND REHABILITATION AND NRSG AT CHITTENANGO
Affiliated entity
THE GRAND HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Grand Rehabilitation and NRSG at ChittenangoCCN 335588 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Mar 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8078.1 residents per day on average
Chain
The Grand Healthcare16 facilities in the chain
Penalties (3 years)
1Fines totaling $16,448

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1720 Whitestone Expy
Whitestone, NY 11357

Ownership & related parties

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.

NameRoleSinceShare
Eric J Rogers Individual Contracted Managing EmployeeCfo Jul 1, 2018 10%
Corporate OfficerCfo Jul 1, 2018 10%
Operational/Managerial ControlCfo Jul 1, 2018 10%
Samuel Stern Individual Corporate OfficerCfo Jan 1, 2020
Jonathan J Strauss Individual Corporate OfficerExecutive Vice President Jan 1, 2015 50%
Operational/Managerial Control Jul 12, 2016 50%
Jeremy Baruch Strauss Individual 5% Or Greater Direct Ownership Interest May 1, 2011 98%
Corporate Director Apr 1, 2010

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1851615942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WHITESTONE EXPY",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573065",
            "telephone_number": "718-215-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 RUSSELL ST",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130371201",
            "telephone_number": "315-687-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITTENANGO CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "STRUASS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-215-6000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chittenango, NY

Sources for this page

Verify at the official NPI Registry.