Active NPI
Seneca Nursing and Rehabilitation
- Skilled Nursing Facility
- Waterloo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 4921303
- Legal business name
- SENECA NURSING AND REHABILITATION
- Practice address
- 200 Douglas Dr
Waterloo, NY 13165-1645 - Phone
- (315) 539-9202
- Fax
- (315) 539-3495
- 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
- Mr. Robert W Hurlbut
- Title
- Owner/Member
- Phone
- (585) 244-0410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4921303 | NY | Primary |
Addresses
Primary practice location
200 Douglas Dr
Waterloo, NY 13165-1645
Mailing address
740 East Ave
Rochester, NY 14607-2107
Phone (585) 244-0410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355651 | Medicaid | NY |
Other names 1
- Seneca Nursing and Rehabilitation Center LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030611000027 | NY | Part A Provider - Skilled Nursing Facility | 0143130336 | Practice locations: Waterloo, NY |
Skilled nursing facility certification: CCN 335400
- Legal name
- SENECA NURSING AND REHABILITATION
- Doing business as
- SENECA NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 8, 1973
- Last certification
- Jun 28, 2023
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Hurlbut Care Communitites
- Organization structure
- LLC
- Incorporated
- Mar 21, 2003 in NY
- Enrollment address
- 200 Douglas Dr
Waterloo, NY 13165-1645 - Nursing home name
- SENECA NURSING & REHABILITATION CENTER, LLC
- Affiliated entity
- HURLBUT CARE
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Rehabilitation Clinic/Center
- Waterloo, NY
- NPI 1578568374
0143130336
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Seneca Nursing & Rehabilitation Center, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 8, 1973
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Hurlbut Care
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 | Mar 31, 2003 | 100% |
| Operational/Managerial Control | Mar 31, 2003 | ||
| Adp of the SNF | Mar 31, 2003 | ||
| Mark Curletta | Corporate Officer | Jul 16, 2021 | 100% |
| Operational/Managerial Control | Jul 16, 2021 | ||
| Adp of the SNF | Jul 16, 2021 | ||
| Jeffrey Reres | Operational/Managerial Control | May 27, 2026 | |
| Adp of the SNF | May 27, 2026 | ||
| Rebecca Butler | Operational/Managerial Control | Jan 1, 2020 | |
| Adp of the SNF | Jan 1, 2020 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1346292950
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Canandaigua, NY
- NPI 1558465237
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": "1118793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559174400000",
"number": "1942205182",
"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": "585-244-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 DOUGLAS DR",
"city": "WATERLOO",
"state": "NY",
"postal_code": "131651645",
"telephone_number": "315-539-9202",
"fax_number": "315-539-3495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENECA NURSING AND REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-15",
"last_updated": "2019-05-30",
"status": "A",
"authorized_official_last_name": "HURLBUT",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "585-244-0410",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "4921303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355651",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Seneca Nursing and Rehabilitation Center LLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Seneca Nursing and Rehabilitation Center LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Waterloo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.