NPIMap

Organization Active NPI

Albany County

  • Skilled Nursing Facility
  • Albany, NY
National Provider Identifier
1952309536
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0153302N Issued in NY
Legal business name
ALBANY COUNTY
Practice address
780 Albany Shaker Rd
Albany, NY 12211-1058
Phone
(518) 869-2231
Fax
(518) 869-1290
NPI assigned
Jul 8, 2005
Last updated
May 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Mr. Larry I Slatky, LNHA
Title
Executive Director
Phone
(518) 869-2231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0153302N NY Primary

Addresses

Primary practice location

780 Albany Shaker Rd
Albany, NY 12211-1058

Mailing address

780 Albany Shaker Rd
Albany, NY 12211-1058
Phone (518) 869-2231

Other identifiers 2

IdentifierTypeStateIssuer
00309260MedicaidNY
0153302NOtherNYNYSDOH CERTIFICATE LICENSE NUMBER

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111102000023 NY Part A Provider - Skilled Nursing Facility 8224941331 1 other NPI on this enrollment
Practice locations: Albany, NY
O20150716001537 NY Part B Supplier - Clinic/Group Practice 8224941331 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952309536. Details of each certification follow.

Skilled nursing facility certification: CCN 335425

Legal name
COUNTY OF ALBANY DEPARTMENT OF HEALTH
Doing business as
SHAKER PLACE REHABILIATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1974
Last certification
Oct 10, 2023
Beds
250
Ownership / control type
County
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1973 in NY
Enrollment address
100 Heritage LN
Albany, NY 12211-1006
Nursing home name
SHAKER PLACE REHABILITATION AND NURSING CENTER

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Shaker Place Rehabilitation and Nursing CenterCCN 335425 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Nov 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
250243.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ann Lee Home10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

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.

NameRoleSinceShare
Larry Slatky Individual Corporate DirectorExecutive Director Jul 1, 2014 100%
W-2 Managing EmployeeAdministrator of Record Jul 1, 2014 100%
County of Albany Department of Health Organization, Albany, NY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1970 100%
Operational/Managerial Control Jul 1, 1970 100%

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

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": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1952309536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ALBANY SHAKER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122111058",
            "telephone_number": "518-869-2231",
            "fax_number": "518-869-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ALBANY SHAKER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122111058",
            "telephone_number": "518-869-2231",
            "fax_number": "518-869-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "SLATKY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-869-2231",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0153302N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309260",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSDOH CERTIFICATE LICENSE NUMBER",
            "identifier": "0153302N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.