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EDDY HERITAGE HOUSE NURSING CENTER
NPI 1356395909
Skilled Nursing Facility in Troy, NY

Active since May 19, 2006CLIA 33D0868620 · Waiver
1/5
Overall Rating
2920 TIBBITS AVE, TROY, NY 12180(518) 274-4125(518) 274-4337 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eddy Heritage House Nursing Center NPPES

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

EDDY HERITAGE HOUSE NURSING CENTER (NPI 1356395909) is a healthcare organization registered as a skilled nursing facility in Troy, New York and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Juanita Wheeler, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1356395909
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHERITAGE HOUSE NURSING CENTER, INC
Location Address2920 TIBBITS AVETroy, NY 12180-7077
Mailing Address421 West Columbia StreetCohoes, NY 12047-2217 · (518) 274-4125 · Fax (518) 274-4337
Phone(518) 274-4125
Fax(518) 274-4337
Organization SubpartNo
Authorized OfficialJuanita WheelerDirector Of Finance · (518) 238-4045
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356395909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in NY · 4102311N
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2920 TIBBITS AVE, Troy, NY 12180
Open in Google Maps ↗

Other Names 1

Doing Business AsEddy Heritage House Nursing Center

Other Identifiers 6

Other7419009NY · Aetna
Other012299NY · Blue Cross Federal
Medicaid01365177NY
Other000400107001NY · Blue Shield Of Ne Ny
Other009611NY · Blue Cross
Other10023491NY · Cdphp

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eddy Heritage House Nursing Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110608000062Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Eddy Heritage House Nursing Center, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner11
Family Practice3
Geriatric Medicine2
Internal Medicine2
Clinical Psychologist1
Emergency Medicine1
Psychiatry1

Nearest to this location (20)

See all 21
Jacqueline Jordan, FNP-BC
Nurse Practitioner
NPI 1114292331
433 RIVER ST STE 3000
Troy, NY 12180
(518) 279-5700
✔ PECOS1.3 mi
Ashanti Lewis, FNP-BC
Nurse Practitioner
NPI 1750278552
433 RIVER ST STE 3000
Troy, NY 12180
(518) 274-6200
✔ PECOS✔ Accepts Medicare1.3 mi
Linda Rabbin
Nurse Practitioner
NPI 1821172750
101 JORDAN RD SUITE 100
Troy, NY 12180
(518) 274-9126
✔ PECOS4.1 mi
David Herman, M.D.
Internal Medicine
NPI 1073505723
421 WEST COLUMBIA STREET
Cohoes, NY 12047
(518) 238-4152
✔ PECOS4.3 mi
Maureen Reals, ANP
Nurse Practitioner
NPI 1710669924
315 S MANNING BLVD
Albany, NY 12208
(518) 285-8150
✔ PECOS7.6 mi
Lauren Fina, FNP-BC
Nurse Practitioner
NPI 1346793585
43 NEW SCOTLAND AVE
Albany, NY 12208
(518) 262-5196
✔ PECOS7.9 mi
Surekha Varkey, FNP
Nurse Practitioner
NPI 1346859899
23 HACKETT BLVD
Albany, NY 12208
(518) 262-3341
✔ PECOS8.3 mi
Suja Thomas
Nurse Practitioner
NPI 1104560549
18 ORLANDO AVE
Albany, NY 12203
(518) 542-0276
✔ PECOS8.7 mi
Michael Burke, MD
Geriatric Medicine
NPI 1639219744
315 S MANNING BLVD
Albany, NY 12208
(518) 525-1550
✔ PECOS8.8 mi
Tiffany Petersen, NP
Nurse Practitioner
NPI 1609547363
315 S MANNING BLVD
Albany, NY 12208
(185) 252-7957
✔ PECOS8.8 mi
Veronica Mckeon, FNP-BC
Nurse Practitioner
NPI 1144052440
315 S MANNING BLVD
Albany, NY 12208
(518) 525-5064
✔ PECOS✔ Accepts Medicare8.9 mi
Jose David, M.D.
Family Practice
NPI 1831181981
1 ALTON RD
Albany, NY 12203
(518) 456-4634
✔ PECOS10 mi
Edgar Henriques, M.D.
Internal Medicine
NPI 1508868415
40 AUTUMN DR
Slingerlands, NY 12159
(518) 482-8774
✔ PECOS✔ Accepts Medicare10 mi
Guerman Ermolenko, MD
Psychiatry
NPI 1003828039
11 NEW KARNER RD #627
Guilderland, NY 12084
(518) 229-0807
✔ PECOS12 mi
Jessica Burke, PSY.D.
Clinical Psychologist
NPI 1699711036
2 MERCYCARE LN
Guilderland, NY 12084
(518) 464-8100
✔ PECOS✔ Accepts Medicare13 mi
Melissa Fiorini, MD
Emergency Medicine
NPI 1538232830
2 MERCYCARE LANE OUR LADY OF MERCY LIFE CENTER
Guilderland, NY 12084
(518) 464-8100
✔ PECOS✔ Accepts Medicare13 mi
Nosa Aigbe Lebarty, MD
Family Practice
NPI 1629385315
624 MCCLELLAN ST SUITE 101
Schenectady, NY 12304
(518) 382-2260
✔ PECOS✔ Accepts Medicare14 mi
Kerry Ricker, D.O.
Family Practice
NPI 1801857222
1270 BELMONT AVE
Schenectady, NY 12308
(518) 382-4530
✔ PECOS14 mi
Patricia Christian, ANP-C
Nurse Practitioner
NPI 1154541092
1938 CURRY RD
Schenectady, NY 12303
(518) 382-3290
✔ PECOS15 mi
Christine Via, FNP
Nurse Practitioner
NPI 1366727513
42082 STATE HIGHWAY 28
Margaretville, NY 12455
(845) 586-3888
✔ PECOS✔ Accepts Medicare64 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D0868620

Eddy Heritage House Nursing & Rehabilitation Ctr · Troy, NY
Active · expires Mar 26, 2027
CLIA Number33D0868620
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 27, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Michael K. Burke
Laboratory Phone(518) 274-4125
Laboratory LocationEddy Heritage House Nursing & Rehabilitation Ctr2920 Tibbits Ave, Troy, NY 12180
CLIA data matches this NPI record on: Address 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 Eddy Heritage House Nursing And Rehabilitation Ctr (CMS certification number 335760), from CMS Care Compare.

Eddy Heritage House Nursing And Rehabilitation Ctr

Nursing home · Troy, NY
1/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number335760
Certified Beds120 beds108 residents per day on average
Medicare & Medicaid Participant SinceNovember 12, 1992
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.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
66.33
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 2.13 · LPN 1.17 · RN 0.83
4.13 hrs per resident per day
Weekend Nurse Staffing
3.36 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
44.4%
Registered Nurse Turnover
36.4%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
4
Substantiated Complaints
3
Fines
2 totaling $8,550.75
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Heritage House Nursing Center, Inc's NPI number?

The NPI number for Heritage House Nursing Center, Inc is 1356395909. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Eddy Heritage House Nursing Center.

Where is Heritage House Nursing Center, Inc located?

Heritage House Nursing Center, Inc is located at 2920 Tibbits Ave, Troy, NY 12180. The listed phone number is (518) 274-4125.

What is Heritage House Nursing Center, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Heritage House Nursing Center, Inc enrolled in Medicare?

Yes. Heritage House Nursing Center, Inc is registered in the Medicare PECOS enrollment system.

When is Heritage House Nursing Center, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Heritage House Nursing Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 7 Medicare specialties reassign their Medicare billing to Heritage House Nursing Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Family Practice (3) and Geriatric Medicine (2). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Heritage House Nursing Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0868620) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Heritage House Nursing Center, Inc a Medicare-certified nursing home?

Yes. Eddy Heritage House Nursing And Rehabilitation Ctr is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Heritage House Nursing Center, Inc have?

CMS rates Eddy Heritage House Nursing And Rehabilitation Ctr 1 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 Heritage House Nursing Center, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.