CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER, INC.
NPI 1417952417
Skilled Nursing Facility in Staten Island, NY

Active since June 16, 2005CLIA 33D0135550 · Waiver
3/5
Overall Rating
25 FANNING ST, STATEN ISLAND, NY 10314(718) 289-7900(718) 289-7028 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clove Lakes Health Care And Rehabilitation Center, Inc. NPPES

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

CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER, INC. (NPI 1417952417) is a healthcare organization registered as a skilled nursing facility in Staten Island, New York and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Lorri Ann Scullin-senk, Administrator, as its authorized official.

NPPES Registry Identity

NPI1417952417
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCLOVE LAKES HEALTH CARE AND REHABILITATION CENTER, INC.
Location Address25 FANNING STStaten Island, NY 10314-5307
Mailing Address25 Fanning StStaten Island, NY 10314-5307 · (718) 289-7900 · Fax (718) 289-7028
Fax(718) 289-7028
Organization SubpartNo
Authorized OfficialLorri Ann Scullin-senkAdministrator · (718) 289-7890
Enumeration DateJune 16, 2005
Last NPPES UpdateJuly 22, 2014
NPI 1417952417 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 · 7004305N
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.
25 FANNING ST, Staten Island, NY 10314

Other Identifiers 2

Medicare ID-Type Unspecified335239NY · Medicare Id Number
Medicaid00309884NY

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 33D0135550

Clove Lakes Health Care And Rehabilitation Center Inc · Staten Island, NY
Active · expires Mar 26, 2027
CLIA Number33D0135550
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 1994
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Yoav E. Borsuk
Laboratory Phone(718) 289-7890
Laboratory LocationClove Lakes Health Care And Rehabilitation Center Inc25 Fanning Street, Staten Island, NY 10314
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 Clove Lakes Health Care And Rehab Center, Inc (CMS certification number 335239), from CMS Care Compare.

Clove Lakes Health Care And Rehab Center, Inc

Nursing home · Staten Island, NY
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number335239
Certified Beds576 beds392 residents per day on average
Medicare & Medicaid Participant SinceJune 25, 1969
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
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.
30.67
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 2.16 · LPN 0.66 · RN 0.89
3.71 hrs per resident per day
Weekend Nurse Staffing
3.26 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
34.6%
Registered Nurse Turnover
47%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Fines
1 totaling $15,000.00
Medicare Payment Denials
0
Total Penalties
1
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 10

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

Skilled Nursing Facility
25 FANNING ST
STATEN ISLAND, NY 10314
Clinic/Center (Physical Therapy)
25 FANNING ST
STATEN ISLAND, NY 10314
Registered Nurse
25 FANNING ST
STATEN ISLAND, NY 10314
Physical Therapist
25 FANNING ST
STATEN ISLAND, NY 10314
Physical Therapist
25 FANNING ST
STATEN ISLAND, NY 10314
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
25 FANNING ST
STATEN ISLAND, NY 10314
Speech-Language Pathologist
25 FANNING ST
STATEN ISLAND, NY 10314
Physical Therapist
25 FANNING ST
STATEN ISLAND, NY 10314

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 Clove Lakes Health Care And Rehabilitation Center, Inc.'s NPI number?

The NPI number for Clove Lakes Health Care And Rehabilitation Center, Inc. is 1417952417. It was assigned to this organization in the NPPES registry on June 16, 2005.

Where is Clove Lakes Health Care And Rehabilitation Center, Inc. located?

Clove Lakes Health Care And Rehabilitation Center, Inc. is located at 25 Fanning St, Staten Island, NY 10314. The listed phone number is (718) 289-7900.

What is Clove Lakes Health Care And Rehabilitation Center, Inc.'s specialty?

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

Does Clove Lakes Health Care And Rehabilitation Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0135550) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Clove Lakes Health Care And Rehabilitation Center, Inc. a Medicare-certified nursing home?

Yes. Clove Lakes Health Care And Rehab Center, Inc is a Medicare-certified nursing home with 576 certified beds.

What quality rating does Clove Lakes Health Care And Rehabilitation Center, Inc. have?

CMS rates Clove Lakes Health Care And Rehab Center, Inc 3 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 Clove Lakes Health Care And Rehabilitation Center, Inc. was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.