ELDERWOOD AT LOCKPORT
NPI 1902339054
Skilled Nursing Facility in Lockport, NY

Active since April 05, 2017CLIA 33D0688845 · Waiver
4/5
Overall Rating
104 OLD NIAGARA RD, LOCKPORT, NY 14094(716) 434-8039 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 19, 2023, Jun 14, 2021 (2 updates tracked since 2021).

About Elderwood At Lockport NPPES

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

ELDERWOOD AT LOCKPORT (NPI 1902339054) is a healthcare organization registered as a skilled nursing facility in Lockport, New York and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jeffrey Rubin, Co-chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1902339054
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name104 OLD NIAGARA ROAD OPERATING COMPANY, LLC
Location Address104 OLD NIAGARA RDLockport, NY 14094-1500
Mailing Address500 Seneca St Ste 100Buffalo, NY 14204-1963 · (716) 633-3900
Organization SubpartNo
Authorized OfficialJeffrey RubinCo-chief Executive Officer · (716) 817-5075
Enumeration DateApril 5, 2017
Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
NPI 1902339054 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.

104 OLD NIAGARA RD, Lockport, NY 14094

Other Names 1

Doing Business AsElderwood At Lockport

Other Identifiers 1

Medicaid00356372NY

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 33D0688845

Elderwood At Lockport · Lockport, NY
Active · expires Mar 26, 2027
CLIA Number33D0688845
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 1994
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Harnath Clerk
Laboratory Phone(716) 434-6324
Laboratory LocationElderwood At Lockport104 Old Niagara Road, Lockport, NY 14094
CLIA data matches this NPI record on: Address Name
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 Elderwood At Lockport (CMS certification number 335500), from CMS Care Compare.

Elderwood At Lockport

Nursing home · Lockport, NY
4/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number335500
Certified Beds126 beds100 residents per day on average
Medicare & Medicaid Participant SinceAugust 1, 1976
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
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.
13.33
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 1.88 · LPN 0.79 · RN 0.98
3.64 hrs per resident per day
Weekend Nurse Staffing
3.17 hrs per resident per day
Physical Therapist Staffing
0.15 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
50.5%
Registered Nurse Turnover
40%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
3
Infection-Control Citations
1
Fines
1 totaling $5,000.00
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 2

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

Physical Therapist
104 OLD NIAGARA RD
LOCKPORT, NY 14094
Skilled Nursing Facility
104 OLD NIAGARA RD
LOCKPORT, NY 14094

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 104 Old Niagara Road Operating Company, LLC's NPI number?

The NPI number for 104 Old Niagara Road Operating Company, LLC is 1902339054. It was assigned to this organization in the NPPES registry on April 5, 2017.

Where is 104 Old Niagara Road Operating Company, LLC located?

104 Old Niagara Road Operating Company, LLC is located at 104 Old Niagara Rd, Lockport, NY 14094. The listed phone number is (716) 434-8039.

What is 104 Old Niagara Road Operating Company, LLC's specialty?

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

Does 104 Old Niagara Road Operating Company, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0688845) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is 104 Old Niagara Road Operating Company, LLC a Medicare-certified nursing home?

Yes. Elderwood At Lockport is a Medicare-certified nursing home with 126 certified beds.

What quality rating does 104 Old Niagara Road Operating Company, LLC have?

CMS rates Elderwood At Lockport 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 104 Old Niagara Road Operating Company, LLC was last updated on January 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.