CLR Troy LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4102312N Issued in NY

Legal business name

CLR TROY LLC

Practice address

49 Marvin Ave
Troy, NY 12180-6425

Phone

(518) 273-6646

Fax

(518) 273-0168

NPI assigned

May 12, 2017

Organization subpart

No

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

Authorized official

Name

Amir Abramchik

Title

Member

Phone

(718) 931-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Troy Center for Rehabilitation and Nursing Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335280

Legal name

CLR TROY LLC

Doing business as

TROY CENTER FOR REHABILITATION AND NURSING.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 1969

Last certification

Feb 12, 2024

Beds

80 (78 certified)

Ownership / control type

Corporation

Most recent change of ownership

Sep 1, 2017

Organization structure

LLCProprietary

Incorporated

Apr 30, 2015 in NY

Enrollment address

49 Marvin Ave
Troy, NY 12180-6425

Nursing home name

TROY CENTER FOR REHABILITATION AND NURSING

Affiliated entity

CENTERS HEALTH CARE

Listed as

Troy Center for Rehabilitation and NursingCCN 335280

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Feb 1, 1969

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7876.6 residents per day on average

Chain

Centers Health Care36 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 15

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.

• Jonathan Samuel Waldman, MD

  • Nephrology Physician
  • Schenectady, NY
  • NPI 1669415501

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

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

• Adetutu Basirat Adetona, M.D.

  • Family Medicine Physician
  • Troy, NY
  • NPI 1629038930
  NPD (past)
• Jonathan Samuel Waldman, MD

  • Nephrology Physician
  • Schenectady, NY
  • NPI 1669415501
  NPD (past)

Affiliated clinicians 1

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

• Adetutu Basirat Adetona, M.D.

  • Family Medicine Physician
  • Troy, NY
  • NPI 1629038930

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1982131611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701104",
            "telephone_number": "718-931-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 MARVIN AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806425",
            "telephone_number": "518-273-6646",
            "fax_number": "518-273-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLR TROY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "ABRAMCHIK",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-931-9700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "4102312N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00360467",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troy Center for Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Troy Center for Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Sam Clayton
• Brian Clemente
• Matthew J Clemente, DDS
• David Gerald Clements, PHARMD
• Christina Cleveland
• Karen Phebe Cobden
• Toni M Cochis, MASTERS OF EDUCATION
• Casey Cole
• Faye Coleman
• David Carl Coletti, MD

• Skilled Nursing Facility in Troy, NY
• Providers in Troy, 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 Jul 24, 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.

Verify at the official NPI Registry.