NPIMap

Organization Active NPI

Auburn Community Hospital

  • Skilled Nursing Facility
  • Auburn, NY
National Provider Identifier
1902889215
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0501000N Issued in NY
Legal business name
AUBURN COMMUNITY HOSPITAL
Practice address
20 Park Ave
Auburn, NY 13021
Phone
(315) 255-7209
NPI assigned
Nov 22, 2005
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
AUBURN COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Jason Lesch
Title
Cfo
Phone
(315) 255-7011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0501000N NY Primary

Addresses

Primary practice location

20 Park Ave
Auburn, NY 13021

Mailing address

20 Park Ave
Auburn, NY 13021
Phone (315) 255-7209

Other identifiers 1

IdentifierTypeStateIssuer
01573808MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031120000617 NY Part B Supplier - Clinic/Group Practice 2365346525 Receives reassigned benefits from 300 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Auburn, NY
O20120202000760 NY Part A Provider - Skilled Nursing Facility 2365346525 Practice locations: Auburn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902889215. Details of each certification follow.

Skilled nursing facility certification: CCN 335785

Legal name
AUBURN COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 31, 1995
Last certification
Sep 6, 2024
Beds
80
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
20 Park Ave
Auburn, NY 13021-1911
Nursing home name
FINGER LAKES CENTER FOR LIVING

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Finger Lakes Center for LivingCCN 335785 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 31, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8074.6 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $101,300

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
Paul F Klawitter

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Patricia Evangelista Individual Operational/Managerial Control Dec 26, 2011
Adp of the SNF Dec 26, 2011
Michael B Brady Individual Corporate DirectorBoard Member Jan 1, 2015
Daniel Alexander Individual Corporate OfficerCao Aug 1, 2022
Adp of the SNF Aug 1, 2022
Susan Edinger Individual Corporate DirectorBoard Member Jan 1, 2015
Joseph Runkle Individual Corporate DirectorTreasurer, Board of Directors Jan 1, 2014
Raymond D'Agostino Individual Corporate DirectorBoard Member Jan 1, 2019
David Gould Individual Corporate DirectorBoard Member Jan 1, 2017
Nabraska Casterlin Individual Operational/Managerial Control Jun 17, 2024
Adp of the SNF Jun 17, 2024
Elane Daly Individual Corporate DirectorBoard Member Jan 1, 2011
Christine P Schaller Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Alan Charles Sherburne Individual Corporate DirectorBoard Member Jan 1, 2024
Melissa Rackmil Individual Corporate OfficerCno Nov 25, 2024
Katrina Ladouce-Wilson Individual Operational/Managerial Control Aug 2, 2022
John a Riccio Individual Corporate DirectorBoard Member Jan 1, 2024
Joseph Pabis Individual Corporate DirectorVice Chairman, Board of Directors Jun 1, 2013
Anthony Franceschelli Individual Corporate DirectorChairman, Board of Directors Jan 1, 2011
Parth J Patel Individual Operational/Managerial Control Sep 7, 2021
Adp of the SNF Sep 7, 2021
Scott Berlucchi Individual Corporate OfficerCeo Jan 1, 2008
Katherine Conway-Russell Individual Operational/Managerial Control Aug 23, 2021
Christina Cornell Individual Corporate DirectorBoard Member Jan 1, 2017
Patsy M Iannolo Individual Corporate DirectorBoard Member Jan 1, 2014
James Iain Syrett Individual Corporate OfficerCmo May 1, 2023
Brian Durant Individual Corporate DirectorSecretary, Board of Directors Jan 1, 2018
Jason R Lesch Individual Corporate OfficerCfo Jan 1, 2024

Owners & managing parties with NPI records 6

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

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 1

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": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1902889215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-255-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARK AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-255-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUBURN COMMUNITY HOSPITAL",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "LESCH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "315-255-7011"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0501000N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01573808",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.