Plaza Nursing Home Company Inc.
Organization Active NPI Skilled Nursing Facility · Syracuse, NY
NPI 1124013115 · NPPES record last updated Aug 15, 2007
Key facts
- NPI
- 1124013115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 3301323N (NY)
- Legal business name
- PLAZA NURSING HOME COMPANY INC.
- Practice address
- 614 S Crouse Ave
Syracuse, NY 13210-1711 - Phone
- (315) 474-4431
- Fax
- (315) 474-7177
- NPI assigned
- Sep 15, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Joyce G. Warriner, CEO
- Title
- Ceo/Administrator
- Phone
- (315) 474-4431
Owners & managing parties with NPI records 2
-
Michael J Brodowski, M.D.
Practitioners 2
-
Michael J Brodowski, M.D.
-
Kristina Ursitti, D.O.
Affiliated clinicians 3
-
Michael J Brodowski, M.D.
-
Kristina Ursitti, D.O.
Medicare Care Compare: Nursing home
- Listed as
- The Cottages at Garden Grove, a Skilled NRSG Comm
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 1, 1971
- Medicare certification status
- Active
- Certified beds
- 156 · 137.8 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2146963 | Cottages at Garden Grove Dba Plaza, the | Certificate of waiver | Mar 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Skilled nursing facility certification: CCN 335340
- Legal name
- PLAZA NURSING HOME COMPANY INC.
- Doing business as
- THE COTTAGES AT GARDEN GROVE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1971
- Last certification
- Jul 16, 2024
- Beds
- 156
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 6, 1968 in NY
- Enrollment address
- 5460 Meltzer CT
Cicero, NY 13039 - Nursing home name
- THE COTTAGES AT GARDEN GROVE, A SKILLED NRSG COMM
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Julie Edmunds Smith |
Corporate Director |
Jan 1, 2019 | |
| |
Adp of the SNF | Nov 13, 2025 | |
| Kristen Mucitelli |
Corporate Director | Jun 1, 2020 | |
| |
Adp of the SNF | Nov 13, 2025 | |
| |
Adp of the SNF | Nov 13, 2025 | |
| |
Adp of the SNF | Nov 13, 2025 | |
| |
Adp of the SNF | Nov 13, 2025 | |
| |
Adp of the SNF | Jan 1, 2021 | |
| Karen Dabrowski |
Corporate Officer | Jan 1, 2019 | |
| John Bergemann |
Corporate Director |
Jan 1, 2009 | |
| |
Adp of the SNF | Nov 13, 2025 | |
| |
Adp of the SNF | Oct 1, 2025 | |
| Iroquois Nursing Home, Inc |
Adp of the SNF | Sep 3, 2014 | |
| Kevin Randall |
Corporate Director | Feb 1, 2024 | |
| Deborah House |
Corporate Director | Nov 4, 2024 | |
| Tara Zgoda |
Corporate Officer |
Dec 14, 2015 | 100% |
| Operational/Managerial Control | Dec 14, 2015 | ||
| Adp of the SNF | Jul 8, 2025 | ||
| |
Adp of the SNF | Nov 13, 2025 | |
| Brenda Ko |
Corporate Director | Apr 1, 2024 | |
| |
Adp of the SNF | Nov 13, 2025 | |
| Sean Barron |
Corporate Director | Feb 1, 2024 | |
| Michael J Brodowski |
Operational/Managerial Control | Jul 20, 2022 | |
| Adp of the SNF | Oct 1, 2025 | ||
| |
Adp of the SNF | Nov 13, 2025 | |
| |
Adp of the SNF | Jul 8, 2025 | |
| Plaza Corporation of Central New York, Inc. |
5% Or Greater Direct Ownership Interest | Sep 3, 2014 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071001000647 | NY | Part a Provider - Skilled Nursing Facility | 7618904731 | Practice locations: Cicero, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3301323N | NY | Yes |
Addresses
Primary practice location
614 S Crouse Ave
Syracuse, NY 13210-1711
Mailing address
614 S Crouse Ave
Syracuse, NY 13210-1711
Phone (315) 474-4431
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00356405 | Medicaid | NY |
Other names
- Rosewood Heights Health Center
NPI Registry JSON
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187136000000",
"number": "1124013115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 S CROUSE AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101711",
"telephone_number": "315-474-4431",
"fax_number": "315-474-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 S CROUSE AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101711",
"telephone_number": "315-474-4431",
"fax_number": "315-474-7177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAZA NURSING HOME COMPANY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-15",
"last_updated": "2007-08-15",
"status": "A",
"authorized_official_last_name": "WARRINER",
"authorized_official_first_name": "JOYCE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "315-474-4431",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "3301323N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00356405",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rosewood Heights Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.