NPIMap

Organization Active NPI

Our Lady of Mercy Life Center

  • Skilled Nursing Facility
  • Guilderland, NY
National Provider Identifier
1972598290
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0155301N Issued in NY
Legal business name
OUR LADY OF MERCY LIFE CENTER
Practice address
2 Mercycare LN
Guilderland, NY 12084-3505
Phone
(518) 464-8100
Fax
(518) 464-8111
NPI assigned
Sep 13, 2005
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mr. Wesley I Hale
Title
Executive Director
Phone
(518) 464-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0155301N NY Primary

Addresses

Primary practice location

2 Mercycare LN
Guilderland, NY 12084-3505

Mailing address

2 Mercycare LN
Guilderland, NY 12084-3505
Phone (518) 464-8100

Other identifiers 1

IdentifierTypeStateIssuer
01417409MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051021000149 NY Part B Supplier - Clinic/Group Practice 7113943846 Receives reassigned benefits from 18 practitioners
Practice locations: Guilderland, NY
O20110222000028 NY Part A Provider - Skilled Nursing Facility 7113943846 Practice locations: Guilderland, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972598290. Details of each certification follow.

Skilled nursing facility certification: CCN 335767

Legal name
OUR LADY OF MERCY LIFE CENTER
Doing business as
NURSECORE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1993
Last certification
Oct 15, 2024
Beds
160
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 12, 1991 in NY
Enrollment address
2 Mercycare LN
Guilderland, NY 12084-3505
Nursing home name
OUR LADY OF MERCY LIFE CENTER
Affiliated entity
TRINITY HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Our Lady of Mercy Life CenterCCN 335767 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160149.4 residents per day on average
Chain
Trinity Health19 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
33D0883736Our Lady of Mercy Life Center2 Mercycare Lane, Guilderland, NY 12084Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 39

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

NameRoleSinceShare
Organization, Overland Park, KS LLC, Medical staffing company Adp of the SNF Apr 15, 2025
Michael K Burke Individual Operational/Managerial Control Sep 1, 2020
Adp of the SNF Sep 1, 2020
Sandra Sullivan-Smith Individual Operational/Managerial Control May 1, 2014
Adp of the SNF May 1, 2014
Individual Adp of the SNF Mar 1, 2025
Individual Adp of the SNF Jul 1, 2019
Michael McDonough Individual Adp of the SNF Mar 17, 2024
Merriette Pollard Individual Corporate DirectorBoard Member Oct 1, 2022
Organization, Boca Raton, FL Corporation, Medical staffing company, For-profit Adp of the SNF Apr 15, 2025
Eric Farrell Individual Corporate OfficerSecretary of the Board Jul 1, 2023
Adp of the SNF Jul 1, 2023
St Peters Health Partners Organization, Albany, NY Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2011 100%
Operational/Managerial Control Oct 1, 2011
Adp of the SNF May 16, 2025
Patricia Lapczynski Individual Corporate DirectorBoard Member Apr 1, 2025
Individual Adp of the SNF Dec 1, 2017
John Marshall Individual Corporate OfficerTreasurer of the Board Oct 5, 2022
Kathleen M Jimino Individual Corporate OfficerChair of the Board Jan 1, 2024
William Wildridge Individual Corporate OfficerVice Chair of the Board Oct 1, 2022
Organization, Sarasota, FL Corporation, Consulting firm, For-profit Adp of the SNF Apr 15, 2025
Steven Donald Hanks Individual Corporate DirectorBoard Member Jan 1, 2023
Adp of the SNF Jan 1, 2023
Michael Meath Individual Corporate DirectorBoard Member Oct 1, 2022
Guha Bala Individual Corporate DirectorBoard Member Oct 1, 2022
Organization, Troy, NY LLC, Consulting firm, For-profit Adp of the SNF Apr 15, 2025
Gina Myers Individual Corporate DirectorBoard Member Oct 1, 2022
Organization, Arlington, TX LLC, Medical staffing company, For-profit Adp of the SNF Apr 15, 2025
Organization, Glenview, IL LLC, Medical staffing company, Consulting firm, For-profit Adp of the SNF Apr 15, 2025
Kristin a Signor Individual Corporate OfficerVP of Finance and Operations Apr 1, 2017
Operational/Managerial Control Apr 1, 2017
Adp of the SNF Apr 1, 2017
Organization, Albany, NY Non-profit Adp of the SNF Apr 15, 2025
Michelle T Mazzacco Individual Operational/Managerial Control Aug 22, 2021
Adp of the SNF Aug 22, 2021
Organization, Albany, NY Corporation, Medical staffing company, For-profit Adp of the SNF Apr 15, 2025
Organization, Albany, NY Corporation, Medical staffing company, For-profit Adp of the SNF Apr 15, 2025
Marguerite Sullivan Individual Corporate DirectorBoard Member Jan 1, 2025
Organization, Charlotte, NC Corporation, Consulting firm, For-profit Adp of the SNF Apr 15, 2025
Organization, Pittsford, NY Consulting firm, For-profit Adp of the SNF Apr 15, 2025
Trinity Health Corporation Organization, Livonia, MI Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2014 100%
Operational/Managerial Control Jul 1, 2014
Adp of the SNF Apr 15, 2025
Daniel Isacksen Individual Corporate DirectorEx-Officio Board Member Oct 1, 2022
Adp of the SNF Oct 1, 2022
Organization, Asheville, NC Corporation, Medical staffing company, For-profit Adp of the SNF Apr 15, 2025
Kerri Sweet Zavaglia Individual Corporate DirectorBoard Member Oct 1, 2022
Organization, Chesterbrook, PA LLC, For-profit Adp of the SNF Apr 15, 2025
Robert J McCormick Individual Corporate DirectorBoard Member Jan 1, 2021
Oluwatoyin Tofade Individual Corporate DirectorBoard Member Jan 1, 2024
Cynthia Ellison Individual Adp of the SNF Dec 4, 2023

Owners & managing parties with NPI records 2

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

Facilities with the same owner 157

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 157

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

Affiliated clinicians 5

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": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1972598290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MERCYCARE LN",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120843505",
            "telephone_number": "518-464-8100",
            "fax_number": "518-464-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MERCYCARE LN",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120843505",
            "telephone_number": "518-464-8100",
            "fax_number": "518-464-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF MERCY LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-464-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0155301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01417409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilderland, NY

Sources for this page

Verify at the official NPI Registry.