Active NPI
Rensselaer County Bureau of Finance
- Skilled Nursing Facility
- Troy, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 4102307N
- Legal business name
- RENSSELAER COUNTY BUREAU OF FINANCE
- Practice address
- 85 Bloomingrove Dr
Troy, NY 12180-8552 - Phone
- (518) 283-2000
- Fax
- (518) 283-2433
- NPI assigned
- Oct 17, 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. Douglas E. Cosey
- Title
- Executive Director
- Phone
- (518) 283-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4102307N | NY | Primary |
Addresses
Primary practice location
85 Bloomingrove Dr
Troy, NY 12180-8552
Mailing address
85 Bloomingrove Dr
Troy, NY 12180-8552
Phone (518) 283-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00473854 | Medicaid | NY |
Other names 1
- Van Rensselaer Manor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111221000095 | NY | Part A Provider - Skilled Nursing Facility | 0749176923 | Practice locations: Troy, NY |
Skilled nursing facility certification: CCN 335265
- Legal name
- RENSSELAER COUNTY BUREAU OF FINANCE
- Doing business as
- VAN RENSSELAER MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1968
- Last certification
- May 1, 2023
- Beds
- 362
- Ownership / control type
- County
- Organization structure
- Government
- Enrollment address
- 85 Bloomingrove Dr
Troy, NY 12180-8433 - Nursing home name
- VAN RENSSELAER MANOR
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
- Van Rensselaer Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Oct 1, 1968
- Medicare certification status
- Active
- Certified beds
- 362
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Isidoro a Sandler
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Troy, NY
- NPI 1225273485
-
- Mental Health Counselor
- Troy, NY
- NPI 1932130358
-
- Case Management Agency
- Troy, NY
- NPI 1942597232
-
- Local Education Agency (LEA)
- Troy, NY
- NPI 1023163839
-
- Early Intervention Provider Agency
- Troy, NY
- NPI 1477682755
-
- Early Intervention Provider Agency
- Troy, NY
- NPI 1568591840
-
- Case Management Agency
- Troy, NY
- NPI 1619143609
Ownership & 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 |
|---|---|---|---|
| Rensselaer County Bureau of Finance | 5% Or Greater Direct Ownership Interest | Jun 30, 1994 | 100% |
| 5% Or Greater Mortgage Interest | Jun 30, 1994 | 100% | |
| 5% Or Greater Security Interest | Jun 30, 1994 | 100% | |
| Dana Daley | Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Oct 16, 2023 | ||
| Jason N Lieu | Operational/Managerial Control | May 5, 2022 | |
| Adp of the SNF | May 5, 2022 | ||
| John Wasielewski | Operational/Managerial Control | Nov 1, 2021 | |
| Adp of the SNF | Nov 1, 2021 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Schenectady, NY
- NPI 1407163827
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Troy, NY
- NPI 1225273485
5% Or Greater Direct Ownership Interest, 5% Or Greater Mortgage Interest, 5% Or Greater Security Interest
-
- Mental Health Counselor
- Troy, NY
- NPI 1932130358
5% Or Greater Direct Ownership Interest, 5% Or Greater Mortgage Interest, 5% Or Greater Security Interest
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Albany, NY
- NPI 1316938988
-
- Family Medicine Physician
- Troy, NY
- NPI 1508915661
-
- Family Nurse Practitioner
- Cohoes, NY
- NPI 1861959686
-
- Family Medicine Physician
- Schenectady, NY
- NPI 1407163827
-
- Family Nurse Practitioner
- Schenectady, NY
- NPI 1649579145
Affiliated clinicians 3
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": "1129507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486684800000",
"number": "1942299581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 BLOOMINGROVE DR",
"city": "TROY",
"state": "NY",
"postal_code": "121808552",
"telephone_number": "518-283-2000",
"fax_number": "518-283-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 BLOOMINGROVE DR",
"city": "TROY",
"state": "NY",
"postal_code": "121808552",
"telephone_number": "518-283-2000",
"fax_number": "518-283-2433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENSSELAER COUNTY BUREAU OF FINANCE",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-17",
"last_updated": "2017-02-10",
"status": "A",
"authorized_official_last_name": "COSEY",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "518-283-2000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "4102307N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00473854",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Van Rensselaer Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Troy, NY
- Deborah Reiter
- Penny Rembert
- Rensselaer County Bureau of Finance
- Rensselaer County Bureau of Finance
- Rensselaer County Bureau of Finance
- Rensselaer County Bureau of Finance
- Rensselaer County Department of Health
- Rensselaer County Health Department
- Rensselaer County Health Department
- Rensselaer County Mental Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.