Organization Active NPI

Schofield Residence Inc.

Doing business as Schofield Residence - SNF

  • Skilled Nursing Facility
  • Buffalo, NY
National Provider Identifier
1871553537
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1404300N Issued in NY
Legal business name
SCHOFIELD RESIDENCE INC.
Doing business as
Schofield Residence - SNF
Practice address
3333 Elmwood Ave
Buffalo, NY 14217-1013
Phone
(716) 874-1566
Fax
(716) 874-6942
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1404300N NY Primary

Addresses

Primary practice location

3333 Elmwood Ave
Buffalo, NY 14217-1013

Mailing address

3333 Elmwood Ave
Kenmore, NY 14217-1013
Phone (716) 874-1566

Other identifiers 4

IdentifierTypeStateIssuer
286OtherNYBLUE CROSS BLUE SHIELD
00475425MedicaidNY
00011419601OtherNYUNIVERA
K5OtherNYINDEPENDENT HEALTH

Other names 1

  • Schofield Residence - SNF Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050512000058 NY Part A Provider - Skilled Nursing Facility 6507806254 Practice locations: Kenmore, NY
O20160304000309 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6507806254 Practice locations: Kenmore, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871553537. Details of each certification follow.

Skilled nursing facility certification: CCN 335603

Legal name
SCHOFIELD RESIDENCE INC
Doing business as
SCHOFIELD RESIDENCE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1977
Last certification
Apr 9, 2025
Beds
120
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 10, 1915 in NY
Enrollment address
3333 Elmwood Ave
Kenmore, NY 14217-1013
Nursing home name
SCHOFIELD RESIDENCE

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Schofield ResidenceCCN 335603 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120103.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Michael H Kueker Individual Operational/Managerial Control Jun 4, 2023
Adp of the SNF Jun 4, 2023
Lawrence Digiulio Individual Corporate Director May 13, 2016
Olivia Rozycki Individual Operational/Managerial Control Nov 27, 2017
Adp of the SNF Nov 27, 2012
Steven Chizuk Individual Corporate OfficerCfo Sep 1, 2021
Adp of the SNF Aug 31, 2021
Christopher Koenig Individual Corporate OfficerPresident & Ceo Mar 8, 2022
Adp of the SNF Sep 1, 2021
Christopher Kempton Individual Corporate Director Jul 1, 2005

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 3

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 2

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": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1871553537",
    "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": "3333 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142171013",
            "telephone_number": "716-874-1566",
            "fax_number": "716-874-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOFIELD RESIDENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1404300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "286",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00475425",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011419601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "K5",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schofield Residence - SNF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schofield Residence - SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.