NPIMap

Organization Active NPI

2600 Niagara Falls Boulevard Operating Company LLC

Doing business as Elderwood at Wheatfield

  • Skilled Nursing Facility
  • Wheatfield, NY
National Provider Identifier
1891068532
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
2600 NIAGARA FALLS BOULEVARD OPERATING COMPANY LLC
Doing business as
Elderwood at Wheatfield
Practice address
2600 Niagara Falls Blvd
Wheatfield, NY 14304-4560
Phone
(716) 215-8000
NPI assigned
Feb 10, 2012
Last updated
Jan 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Dr. Jeffrey Rubin
Title
Co-Chief Executive Officer
Phone
(716) 817-5075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2600 Niagara Falls Blvd
Wheatfield, NY 14304-4560

Mailing address

500 Seneca St Ste 100
Buffalo, NY 14204-1963
Phone (716) 633-3900

Other identifiers 1

IdentifierTypeStateIssuer
01615021MedicaidNY

Other names 1

  • Elderwood at Wheatfield Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121121000001 NY Part A Provider - Skilled Nursing Facility 1456502467 Practice locations: Niagara Falls, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891068532. Details of each certification follow.

Skilled nursing facility certification: CCN 335790

Legal name
2600 NIAGARA FALLS BOULEVARD OPERATING COMPANY, LLC
Doing business as
ELDERWOOD AT WHEATFIELD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 18, 1995
Last certification
Aug 14, 2024
Beds
123
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Elderwood/Post Acute Partners
Organization structure
LLCProprietary
Incorporated
Oct 12, 2011 in NY
Enrollment address
2600 Niagara Falls Blvd
Niagara Falls, NY 14304-4560
Nursing home name
ELDERWOOD AT WHEATFIELD
Affiliated entity
ELDERWOOD

Care Compare: Nursing home

Medicare Care Compare
Listed as
Elderwood at WheatfieldCCN 335790 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 18, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
123115.6 residents per day on average
Chain
Elderwood17 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Michelle Hardy Individual W-2 Managing EmployeeFacility Administrator Dec 13, 2021
Jeffrey Rubin Individual 5% Or Greater Direct Ownership Interest Oct 14, 2011 50%
Operational/Managerial ControlMember/Manager Oct 14, 2011 50%
Warren D Cole Individual 5% Or Greater Direct Ownership Interest Oct 14, 2011 50%
Operational/Managerial ControlMember/Manager Oct 14, 2011 50%

Practitioners & affiliated clinicians

Practitioners 4

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": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1891068532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SENECA ST STE 100",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041963",
            "telephone_number": "716-633-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NIAGARA FALLS BLVD",
            "city": "WHEATFIELD",
            "state": "NY",
            "postal_code": "143044560",
            "telephone_number": "716-215-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2600 NIAGARA FALLS BOULEVARD OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CO-CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "716-817-5075",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01615021",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderwood at Wheatfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elderwood at Wheatfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheatfield, NY

Sources for this page

Verify at the official NPI Registry.