WELLSVILLE MANOR CARE CENTER
NPI 1225019029
Nursing Facility/Intermediate Care Facility in Wellsville, NY

Q: What is Wellsville Manor LLC's NPI number?

The NPI number for Wellsville Manor LLC is 1225019029. It was assigned to this organization in the NPPES registry on November 9, 2005. The provider is doing business as Wellsville Manor Care Center.

Q: What is Wellsville Manor LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: What quality rating does Wellsville Manor LLC have?

CMS rates Wellsville Manor Care Center 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since November 09, 2005CLIA 33D0709394 · Waiver

4/5

Overall Rating

4192A BOLIVAR RD, WELLSVILLE, NY 14895(585) 593-4400(585) 593-4418 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wellsville Manor Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSVILLE MANOR CARE CENTER (NPI 1225019029) is a healthcare organization registered as a nursing facility/intermediate care facility in Wellsville, New York and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jonathan Gewirtz, Manager, Fiscal Oversight, as its authorized official.

NPPES Registry Identity

NPI1225019029

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameWELLSVILLE MANOR LLC

Location Address4192A BOLIVAR RDWellsville, NY 14895-9325

Mailing Address4192a Bolivar RdWellsville, NY 14895-9325 · (585) 593-4400 · Fax (585) 593-4418

Phone(585) 593-4400

Fax(585) 593-4418

Organization SubpartNo

Authorized OfficialJonathan GewirtzManager, Fiscal Oversight · (914) 588-8379

Enumeration DateNovember 9, 2005

Last NPPES UpdateSeptember 9, 2015

✔ NPI 1225019029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

4192A BOLIVAR RD, Wellsville, NY 14895

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Other Names 1

Doing Business AsWellsville Manor Care Center

Other Identifiers 2

Medicare UPIN335661NY

Medicaid00752167NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0709394

Wellsville Manor Care Center · Wellsville, NY

Active · expires Mar 26, 2027

CLIA Number33D0709394

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 27, 2001

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. David S. Dirello

Laboratory Phone(585) 593-4400

Laboratory LocationWellsville Manor Care Center4192A Bolivar Road, Wellsville, NY 14895

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Wellsville Manor Care Center (CMS certification number 335661), from CMS Care Compare.

Wellsville Manor Care Center

Nursing home · Wellsville, NY

4/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number335661

Certified Beds120 beds112 residents per day on average

Medicare & Medicaid Participant SinceFebruary 1, 1983

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

2/5

Long-Stay Quality

Quality of care delivered to long-term residents.

3/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

1/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

11.33

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.27 · LPN 0.65 · RN 0.69

3.6 hrs per resident per day

Weekend Nurse Staffing

2.87 hrs per resident per day

Physical Therapist Staffing

0.06 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

42.3%

Registered Nurse Turnover

44.4%

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER ANN FINCH LPN

Licensed Practical Nurse

4192A BOLIVAR RD
WELLSVILLE, NY 14895

Allegany County (585) 593-4400

MS. SUSAN JANE LESTER R.N., A.N.P.

Nurse Practitioner (Adult Health)

4192A BOLIVAR RD
WELLSVILLE, NY 14895

Allegany County (585) 593-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellsville Manor LLC's NPI number?

The NPI number for Wellsville Manor LLC is 1225019029. It was assigned to this organization in the NPPES registry on November 9, 2005. The provider is doing business as Wellsville Manor Care Center.

Where is Wellsville Manor LLC located?

Wellsville Manor LLC is located at 4192A Bolivar Rd, Wellsville, NY 14895. The listed phone number is (585) 593-4400.

What is Wellsville Manor LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Wellsville Manor LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0709394) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Wellsville Manor LLC a Medicare-certified nursing home?

Yes. Wellsville Manor Care Center is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Wellsville Manor LLC have?

CMS rates Wellsville Manor Care Center 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Wellsville Manor LLC was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.