Iroquois Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3353300N Issued in NY

Legal business name

IROQUOIS NURSING HOME INC

Practice address

4600 Southwood Heights Dr
Jamesville, NY 13078-9595

Phone

(315) 469-1300

Fax

(315) 469-5545

NPI assigned

Aug 5, 2006

Last updated

May 20, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maggie Calli

Title

President

Phone

(315) 469-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013926526. Details of each certification follow.

• CCN 335764 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335764

Legal name

IROQUOIS NURSING HOME, INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 4, 1992

Last certification

Aug 20, 2024

Beds

160

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Oct 17, 1990 in NY

Enrollment address

4600 Southwood Heights Dr
Jamesville, NY 13078-9595

Nursing home name

IROQUOIS NURSING HOME INC

Listed as

Iroquois Nursing Home IncCCN 335764 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Nov 4, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

160156.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mitchell Lebowitz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • East Syracuse, NY
  • NPI 1841287745

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Plaza Nursing Home Company Inc.

  dba Rosewood Heights Health Center

  • Skilled Nursing Facility
  • Syracuse, NY
  • NPI 1124013115

  Adp of the SNF

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Musan Durakovic, N.P.

  • Nurse Practitioner
  • Syracuse, NY
  • NPI 1205219482
  Medicare reassignment Care Compare group NPD
• Amechi Valentine Odife Jr., MD

  • General Practice Physician
  • Corning, NY
  • NPI 1679787154
  Medicare reassignment Care Compare group NPD
• Amadu Tijan Barrie, NP

  • Adult Health Nurse Practitioner
  • Syracuse, NY
  • NPI 1518550771
  Medicare reassignment NPD
• Aji Kurian, PA

  • Physician Assistant
  • Houston, TX
  • NPI 1194713610

  NY

  Medicare reassignment
• Sandy Charles Van Every, PA-C

  • Medical Physician Assistant
  • Charlotte, NC
  • NPI 1891078754

  NY

  Medicare reassignment

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Amechi Valentine Odife Jr., MD

  • General Practice Physician
  • Corning, NY
  • NPI 1679787154

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1013926526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SOUTHWOOD HEIGHTS DR",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130789595",
            "telephone_number": "315-469-1300",
            "fax_number": "315-469-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SOUTHWOOD HEIGHTS DR",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130789595",
            "telephone_number": "315-469-1300",
            "fax_number": "315-469-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQUOIS NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "CALLI",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-469-1300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3353300N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl L Hoosock, M.S., CCC-SLP
• Paris B Horan, MD
• Beth W Hudson, MSCCC-SLP
• Judith A Hughes, RN LMT
• Integrated Medicine of Syracuse
• Jamesville Family Medicine and Wellness PC
• Cathy Jaworski
• Rangachar Keshava Prasad, M.D.
• Kristin Marie Kim, PHARMACIST
• Susi Koshy, N.P

• Skilled Nursing Facility in Jamesville, NY
• Providers in Jamesville, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.