Active NPI
Hornell Gardens, LLC
- Skilled Nursing Facility
- Hornell, NY
National Provider Identifier
1922003144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5002301
- Legal business name
- HORNELL GARDENS, LLC
- Practice address
- 434 Monroe Ave
Hornell, NY 14843-2236 - Phone
- (607) 324-7740
- Fax
- (607) 324-4814
- NPI assigned
- Jun 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Bridgett M Chasko
- Title
- Vice President
- Phone
- (585) 244-0410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5002301 | NY | Primary |
Addresses
Primary practice location
434 Monroe Ave
Hornell, NY 14843-2236
Mailing address
740 East Ave
Rochester, NY 14607-2107
Phone (585) 244-0410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355913 | Medicaid | NY |
Other names 1
- Hornell Gardens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070412000181 | NY | Part A Provider - Skilled Nursing Facility | 9830294388 | Practice locations: Hornell, NY |
Skilled nursing facility certification: CCN 335322
- Legal name
- HORNELL GARDENS, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 18, 1971
- Last certification
- Aug 23, 2024
- Beds
- 114
- Ownership / control type
- Corporation
- Most recent change of ownership
- Apr 1, 2007
- Organization structure
- LLC
- Incorporated
- Apr 1, 2007 in NY
- Enrollment address
- 434 Monroe Ave
Hornell, NY 14843-2236 - Nursing home name
- MAPLE CITY REHABILITATION AND NURSING CENTER
- Affiliated entity
- HURLBUT CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Maple City Rehabilitation and Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 18, 1971
- Medicare certification status
- Active
- Certified beds
- 114
- Chain
- Hurlbut Care
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
434 Monroe Ave
Hornell, NY 14843
Phone (607) 324-7740
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert W Hurlbut | 5% Or Greater Direct Ownership Interest | Apr 1, 2007 | 100% |
| W-2 Managing Employee | Apr 1, 2007 | 100% | |
| Bridgett M Chasko | Corporate Officer | Sep 2, 2014 | 100% |
| W-2 Managing Employee | Sep 2, 2014 | 100% | |
| Operational/Managerial Control | Sep 2, 2014 | 100% |
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1144463084
-
- Family Medicine Physician
- Canandaigua, NY
- NPI 1558465237
-
- Internal Medicine Physician
- Linthicum Heights, MD
- NPI 1255376539
-
- Internal Medicine Physician
- Beaver, PA
- NPI 1184464497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579564800000",
"number": "1922003144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 EAST AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146072107",
"telephone_number": "585-244-0410",
"fax_number": "585-244-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 MONROE AVE",
"city": "HORNELL",
"state": "NY",
"postal_code": "148432236",
"telephone_number": "607-324-7740",
"fax_number": "607-324-4814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORNELL GARDENS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-15",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A",
"authorized_official_last_name": "CHASKO",
"authorized_official_first_name": "BRIDGETT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "585-244-0410",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "5002301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355913",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hornell Gardens",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hornell Gardens",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hornell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.