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EDNA TINA WILSON LIVING CENTER
NPI 1811044522
Skilled Nursing Facility in Rochester, NY

Active since January 04, 2007CLIA 33D0880552 · Waiver
5/5
Overall Rating
700 ISLAND COTTAGE RD, ROCHESTER, NY 14612(585) 368-6100(585) 368-6110 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edna Tina Wilson Living Center NPPES

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

EDNA TINA WILSON LIVING CENTER (NPI 1811044522) is a healthcare organization registered as a skilled nursing facility in Rochester, New York and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Amanda Teugeman, Administrator , Nha, as its authorized official.

NPPES Registry Identity

NPI1811044522
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORTH PARK NURSING HOME, INC.
Location Address700 ISLAND COTTAGE RDRochester, NY 14612-2312
Mailing Address700 Island Cottage RdRochester, NY 14612-2312 · (585) 368-6100 · Fax (585) 368-6110
Phone(585) 368-6100
Fax(585) 368-6110
Organization SubpartNo
Authorized OfficialAmanda TeugemanAdministrator , Nha · (585) 368-6105
Enumeration DateJanuary 4, 2007
Last NPPES UpdateApril 10, 2017
✔ NPI 1811044522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
700 ISLAND COTTAGE RD, Rochester, NY 14612
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Other Names 1

Doing Business AsEdna Tina Wilson Living Center

Other Identifiers 5

Other0150059ETNY · Blue Shield Blue Choice
Medicaid01447869NY
Medicare OSCAR/certification335769NY
OtherNH620NY · Preferred Care
Medicare PIN70008ANY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 33D0880552

Edna Tina Wilson Living Center · Rochester, NY
Active · expires Mar 26, 2027
CLIA Number33D0880552
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 27, 2005
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Albert Devlin
Laboratory Phone(585) 368-6105
Laboratory LocationEdna Tina Wilson Living Center700 Island Cottage Road, Rochester, NY 14612
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 Edna Tina Wilson Living Center (CMS certification number 335769), from CMS Care Compare.

Edna Tina Wilson Living Center

Nursing home · Rochester, NY
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number335769
Certified Beds120 beds118 residents per day on average
Medicare & Medicaid Participant SinceDecember 7, 1993
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
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.
15.33
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 2.31 · LPN 1.34 · RN 0.44
4.09 hrs per resident per day
Weekend Nurse Staffing
3.57 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.
46.3%
Registered Nurse Turnover
25%
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
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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 11

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

AMANDA DANIELLE CULL COTA/L
Occupational Therapy Assistant
700 ISLAND COTTAGE RD
GREECE, NY 14612
Monroe County (585) 368-6100
RACHEL ELIZABETH WAUGH DPT
Physical Therapist
700 ISLAND COTTAGE RD
ROCHESTER, NY 14612
Monroe County (585) 368-6125
SHEA RUSTER MS
Speech-Language Pathologist
700 ISLAND COTTAGE RD
ROCHESTER, NY 14612
Monroe County (585) 368-6125
SEAN CIGNARALE
Physical Therapy Assistant
700 ISLAND COTTAGE RD
ROCHESTER, NY 14612
Monroe County (585) 368-6100
KIMBERLY JOSEPH PA
Physician Assistant (Medical)
700 ISLAND COTTAGE RD, EDNA TINA WILSON CENTER
ROCHESTER, NY 14612
Monroe County (585) 368-6100
SHANNON MARIE O'MALLEY DPT
Physical Therapist
700 ISLAND COTTAGE RD
ROCHESTER, NY 14612
Monroe County (585) 368-6100
NORTH PARK NURSING HOME
Clinic/Center (Adult Day Care)
700 ISLAND COTTAGE RD
ROCHESTER, NY 14612
Monroe County (585) 368-6130
EMILY JUDITH TOMCZAK
Occupational Therapy Assistant
700 ISLAND COTTAGE RD
ROCHESTER, NY 14612
Monroe County (585) 723-7549

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 North Park Nursing Home, Inc.'s NPI number?

The NPI number for North Park Nursing Home, Inc. is 1811044522. It was assigned to this organization in the NPPES registry on January 4, 2007. The provider is doing business as Edna Tina Wilson Living Center.

Where is North Park Nursing Home, Inc. located?

North Park Nursing Home, Inc. is located at 700 Island Cottage Rd, Rochester, NY 14612. The listed phone number is (585) 368-6100.

What is North Park Nursing Home, Inc.'s specialty?

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

Does North Park Nursing Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0880552) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is North Park Nursing Home, Inc. a Medicare-certified nursing home?

Yes. Edna Tina Wilson Living Center is a Medicare-certified nursing home with 120 certified beds.

What quality rating does North Park Nursing Home, Inc. have?

CMS rates Edna Tina Wilson Living Center 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does North Park Nursing Home, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list North Park Nursing Home, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Park Nursing Home, Inc. was last updated on April 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.