NPIMap

Organization Active NPI

Clifton Springs Sanitarium Co

Doing business as Clifton Springs Hospital and Clinic

  • Skilled Nursing Facility
  • Clifton Springs, NY
National Provider Identifier
1891850152
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3421000N Issued in NY
Legal business name
CLIFTON SPRINGS SANITARIUM CO
Doing business as
Clifton Springs Hospital and Clinic
Practice address
2 Coulter Road
Clifton Springs, NY 14432-1122
Phone
(315) 462-0557
NPI assigned
Dec 27, 2006
Last updated
Apr 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Paula M Tinch
Title
SVP, Finance
Phone
(585) 922-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3421000N NY Primary

Addresses

Primary practice location

2 Coulter Road
Clifton Springs, NY 14432-1122

Mailing address

100 Kings Highway South
Rochester, NY 14617-5504
Phone (315) 462-0557

Other identifiers 1

IdentifierTypeStateIssuer
00314076MedicaidNY

Other names 1

  • Clifton Springs Hospital and Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070329000414 NY Part A Provider - Skilled Nursing Facility 5092704809 Practice locations: Clifton Springs, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891850152. Details of each certification follow.

Skilled nursing facility certification: CCN 335361

Legal name
CLIFTON SPRINGS SANITARIUM CO
Doing business as
CLIFTON SPRINGS HOSPITAL AND CLINIC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 10, 1972
Last certification
Nov 15, 2024
Beds
108
Ownership / control type
Nonprofit Corporation
Multi-facility organization
ROCHESTER REGIONAL HEALTH
Organization structure
CorporationNon-profit
Incorporated
Apr 5, 1854 in NY
Enrollment address
2 Coulter Rd
Clifton Springs, NY 14432-1122
Nursing home name
CLIFTON SPRINGS HOSPITAL AND CLINIC EXTENDED CARE
Affiliated entity
ROCHESTER REGIONAL HEALTH

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
Clifton Springs Hospital and Clinic Extended CareCCN 335361 · 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
Jan 10, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
108106.0 residents per day on average
Chain
Rochester Regional Health5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Clifton Springs Hosp DME9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Kayvan Mirhadi Individual Corporate DirectorBoard Member Jul 1, 2020
Sidney H Sobel Individual Corporate DirectorBoard Member Feb 26, 2004
Shawn Hoyt Individual W-2 Managing EmployeePayer Receivable Coordinator Apr 14, 2021
Nichole S Holder Individual W-2 Managing EmployeeBusiness Office Manager Apr 1, 2015
Yvonne Hamilton Individual W-2 Managing Employee Sep 1, 2021
Lisa Mattoon Individual Corporate Officer Jul 1, 2021
William W Young Individual Corporate DirectorBoard Member Mar 3, 1994
Howard Glastonbury Individual Corporate OfficerVP Cfo Corporate Finance Jul 1, 2020
Robert a Woodhouse Individual Corporate DirectorBoard Member Dec 31, 1984
Nicholas Day Individual Corporate DirectorBoard Member Jul 1, 2020
Dustin M Riccio Individual Corporate OfficerPresident of Regional Operations Apr 1, 2015
Holly Adams Individual Corporate DirectorBoard Member Jan 24, 2017
Dina Stuck Individual Corporate DirectorBoard Member Jul 1, 2020
Kerry Adams Individual Corporate DirectorBoard Member Jan 24, 2017
Jean Reiter Individual W-2 Managing Employee Jan 1, 2022
Sally Mueller Individual Corporate DirectorBoard Member Jan 24, 2017
Thomas R Crilly Individual Corporate DirectorExec VP/Cfo Apr 1, 2015
W-2 Managing EmployeeExecutive Vice President, Cfo Apr 1, 2015
Stephen M Ignaczak Individual Corporate DirectorBoard Member Aug 28, 2008

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1891850152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HIGHWAY SOUTH",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "315-462-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COULTER ROAD",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-462-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON SPRINGS SANITARIUM CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "TINCH",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SVP, FINANCE",
        "authorized_official_telephone_number": "585-922-1223"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3421000N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00314076",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clifton Springs Hospital and Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton Springs, NY

Sources for this page

Verify at the official NPI Registry.