Roscoe Regional Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ROSCOE REGIONAL HEALTHCARE LLC

Doing business as

roscoe regional rehabilitation and nursing center

Practice address

420 Rockland Rd
Roscoe, NY 12776-6450

Phone

(607) 498-4121

NPI assigned

Aug 31, 2018

Last updated

Sep 26, 2024By 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

Mr. Ralph Rosso

Title

Cfo

Phone

(716) 829-1554

Specialties & licenses 1

Addresses

Other names 1

• roscoe regional rehabilitation and nursing center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952883423. Details of each certification follow.

• CCN 335316 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335316

Legal name

ROSCOE REGIONAL HEALTHCARE LLC

Doing business as

ROSCOE REHABILITATION AND NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 22, 1971

Last certification

Aug 16, 2023

Beds

85

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jun 8, 2017 in NY

Enrollment address

420 Rockland Rd
Roscoe, NY 12776-6450

Nursing home name

ROSCOE REGIONAL REHAB & RESIDENTIAL H C F

Listed as

Roscoe Regional Rehab & Residential H C FCCN 335316 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 22, 1971

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8571.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 5

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.

• Stephen J Evans, MD

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1730172776

  Contracted Managing Employee

  CMS ownership

Practitioners 2

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.

• Imran Ahmed, MD

  • Family Medicine Physician
  • Monticello, NY
  • NPI 1043216948
  NPD (past)
• Stephen J Evans, MD

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1730172776
  NPD (past)

Affiliated clinicians 1

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

• Jemille Smith, MD

  • General Practice Physician
  • Bronx, NY
  • NPI 1457550071

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1952883423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ROCKLAND RD",
            "city": "ROSCOE",
            "state": "NY",
            "postal_code": "127766450",
            "telephone_number": "607-498-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ROCKLAND RD",
            "city": "ROSCOE",
            "state": "NY",
            "postal_code": "127766450",
            "telephone_number": "607-498-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSCOE REGIONAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "ROSSO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-829-1554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://urldefense.com/v3/__https:/esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service__;!!FxBh9b0Dhg!YNotywZTQPco5y2YH7CAn8wZy0i1ML5ZmZIiOGVTb0SyRowZCFpsAtBlzL-QcKJNaAltZDIuQMBfPiPbhbW77CgYe44hv0U$",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "roscoe regional rehabilitation and nursing center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Livingston Manor Pharmacy LLC (The Medicine Shoppe Pharmacy)
• Alison Robin Mastandrea, RN
• R & R Volunteer Ambulance Corp
• Roscoe Central School
• Roscoe Community Nursing Home Co., Inc (Roscoe Regional Rehabilitation and Residential Health Care Facility)
• Margaret Anne Shaw, REGISTERED NURSE
• Kimberly R Sheldon, FNP-C
• Debora Simpson, PTA
• Lorie Steele
• Patricia A Steele, REGISTERED NURSE

• Skilled Nursing Facility in Roscoe, NY
• Providers in Roscoe, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.