NPIMap

Organization Active NPI

Jewish Home of Rochester

  • Skilled Nursing Facility
  • Rochester, NY
National Provider Identifier
1972590206
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2750304N Issued in NY
Legal business name
JEWISH HOME OF ROCHESTER
Practice address
2021 Winton Rd S
Rochester, NY 14618-3957
Phone
(585) 784-6800
Fax
(585) 341-2412
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Deborah McIlveen
Title
Cfo
Phone
(585) 784-6485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2750304N NY Primary

Addresses

Primary practice location

2021 Winton Rd S
Rochester, NY 14618-3957

Mailing address

2021 Winton Rd S
Rochester, NY 14618-3957
Phone (585) 784-6603

Other identifiers 2

IdentifierTypeStateIssuer
2750304NMedicaidNY
335105OtherNYMEDICARE PTAN

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080428000542 NY Part B Supplier - Clinic/Group Practice 7517045719 Receives reassigned benefits from 28 practitioners
Practice locations: Rochester, NY
O20150609000573 NY Part A Provider - Skilled Nursing Facility 7517045719 Practice locations: Rochester, NY

Skilled nursing facility certification: CCN 335105

Legal name
JEWISH HOME OF ROCHESTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Aug 17, 2023
Beds
362
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 10, 1920 in NY
Enrollment address
2021 Winton Road S
Rochester, NY 14618-3957
Nursing home name
JEWISH HOME OF ROCHESTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Jewish Home of RochesterCCN 335105 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
362304.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0010293Jewish Home & Infirmary of Rochester New York2021 Winton Rd South, Rochester, NY 14618Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

2000 Summit Circle Dr
Rochester, NY 14618

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel a Mendelson Individual Corporate OfficerMedical Director Feb 21, 2022
W-2 Managing EmployeeMD; Feb 21, 2022
Christine Vanvassem Individual Corporate OfficerVice President Staff Development Sep 29, 2008
Carly Zecher Individual Corporate OfficerSenior VP of Finance and Cfo May 19, 2023
W-2 Managing EmployeeSenior VP of Finance and Cfo Jan 18, 2016
Michael King Individual Corporate OfficerPresident & Ceo Mar 7, 2005
Robert Baker Individual Corporate OfficerBoard Member May 1, 2022
Travis Masonis Individual Corporate OfficerVice President Information Techn Aug 1, 2011
Wendy Ferrer Individual Corporate OfficerSenior VP of Housing and Marketing May 23, 2022
Marc Reich Individual Corporate OfficerBoard Member May 1, 2022
Michelle Schirano Individual Corporate OfficerSenior Vice President/Administrator Mar 20, 1993
W-2 Managing EmployeeAd; Mar 20, 1993
Alan Kinel Individual Corporate OfficerBoard Member May 1, 2022

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

Affiliated clinicians 4

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": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1972590206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183957",
            "telephone_number": "585-784-6603",
            "fax_number": "585-341-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183957",
            "telephone_number": "585-784-6800",
            "fax_number": "585-341-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOME OF ROCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "MCILVEEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "585-784-6485"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2750304N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2750304N",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "335105",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.