Gerry Homes Inc

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

GERRY HOMES INC

Doing business as

Heritage Green Outpatient Therapy Clinic

Practice address

3023 Route 430
Greenhurst, NY 14742

Phone

(716) 483-5000

NPI assigned

Oct 2, 2006

Last updated

Jul 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Boswell

Title

Vice President of Finance

Phone

(716) 338-9766

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Heritage Green Outpatient Therapy Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912090184. Details of each certification follow.

• CCN 335721 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335721

Legal name

GERRY HOMES INC

Doing business as

HERITAGE GREEN HEALTH CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 14, 1992

Last certification

Feb 1, 2024

Beds

134

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Gerry Homes

Organization structure

CorporationNon-profit

Incorporated

May 6, 1886 in NY

Enrollment address

3023 Route 430
Greenhurst, NY 14742-0400

Nursing home name

HERITAGE GREEN REHAB & SKILLED NURSING

Affiliated entity

HERITAGE MINISTRIES

Other NPIs on the same Medicare enrollment 1

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

• Gerry Homes Inc

  dba Heritage Green Rehab & Skilled Nursing

  • Skilled Nursing Facility
  • Greenhurst, NY
  • NPI 1003812330

  O20080116000039

  Same enrollment

Listed as

Heritage Green Rehab & Skilled NursingCCN 335721 · 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

Non profit - Corporation

Certified

May 14, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

134116.1 residents per day on average

Chain

Heritage Ministries3 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

The Gerry Homes3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Gerry Homes, Inc

  dba Heritage Village Retirement Campus

  • Assisted Living Facility
  • Gerry, NY
  • NPI 1932105053
  NPD tax ID
• The Gerry Homes

  dba Orchard Grove Residences

  • Assisted Living Facility
  • Jamestown, NY
  • NPI 1457603136
  NPD tax ID

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

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

• Albert Persia, M.D.

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1154310266

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Albert Persia, M.D.

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1154310266

  Nursing home

  Care Compare affiliation
• Alexander Z Selioutski, M.D.

  • Family Medicine Physician
  • Mayville, NY
  • NPI 1851360606

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1912090184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "GERRY",
            "state": "NY",
            "postal_code": "14740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 ROUTE 430",
            "city": "GREENHURST",
            "state": "NY",
            "postal_code": "14742",
            "telephone_number": "716-483-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERRY HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "716-338-9766"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA PROVIDER ID",
            "identifier": "00011450401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "Y4",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Green Outpatient Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Green Outpatient Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nissa Bland, RN
• Karen I Bower, PT
• Gina M Gazdak, CRNP
• Gerry Homes Inc (Heritage Green Rehab & Skilled Nursing)
• Heritage Green Health Care Center
• Alyssa J Johnson
• Amy Sue Koers, ANP-BC
• Angela Mary Mackowiak

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Greenhurst, NY
• Providers in Greenhurst, NY by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.