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

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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

Medicare Care Compare: Nursing home

Listed as
The Cottages at Garden Grove, a Skilled NRSG Comm CCN 335340
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 (Provider of Services file)
Certified beds
156 · 137.8 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2146963Cottages at Garden Grove Dba Plaza, the
5460 Meltzer Court, Cicero, NY 13039
Certificate of waiverMar 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

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

NameRoleSinceShare
Julie Edmunds Smith
Individual
Corporate Director
Chairman
Jan 1, 2019

Organization · Syracuse, NY
LLC
Adp of the SNF Nov 13, 2025
Kristen Mucitelli
Individual
Corporate Director Jun 1, 2020

Organization · Syracuse, NY
LLC, Medical staffing company
Adp of the SNF Nov 13, 2025

Organization · East Syracuse, NY
Financial institution
Adp of the SNF Nov 13, 2025

Organization · Manalapan, NJ
LLC, Consulting firm, For-profit
Adp of the SNF Nov 13, 2025

Organization · Boston, MA
Corporation
Adp of the SNF Nov 13, 2025

Individual
Adp of the SNF Jan 1, 2021
Karen Dabrowski
Individual
Corporate Officer Jan 1, 2019
John Bergemann
Individual
Corporate Director
Secretary
Jan 1, 2009

Organization · Syracuse, NY
LLC
Adp of the SNF Nov 13, 2025

Organization · Syracuse, NY
Corporation, Financial institution
Adp of the SNF Oct 1, 2025
Iroquois Nursing Home, Inc
Organization · Jamesville, NY
Corporation, Non-profit
Adp of the SNF Sep 3, 2014
Kevin Randall
Individual
Corporate Director Feb 1, 2024
Deborah House
Individual
Corporate Director Nov 4, 2024
Tara Zgoda
Individual
Corporate Officer
Administrator
Dec 14, 2015 100%
Operational/Managerial Control Dec 14, 2015
Adp of the SNF Jul 8, 2025

Organization · Buffalo, NY
Corporation, Medical provider/supplier
Adp of the SNF Nov 13, 2025
Brenda Ko
Individual
Corporate Director Apr 1, 2024

Organization · Pelham, NY
Corporation, Medical provider/supplier, For-profit
Adp of the SNF Nov 13, 2025
Sean Barron
Individual
Corporate Director Feb 1, 2024
Michael J Brodowski
Individual
Operational/Managerial Control Jul 20, 2022
Adp of the SNF Oct 1, 2025

Organization · Syracuse, NY
Corporation
Adp of the SNF Nov 13, 2025

Organization · Syracuse, NY
Corporation, Non-profit
Adp of the SNF Jul 8, 2025
Plaza Corporation of Central New York, Inc.
Organization · Jamesville, NY
Corporation, Holding company, Non-profit, Owned by another organization or individual
5% Or Greater Direct Ownership Interest Sep 3, 2014 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071001000647 NY Part a Provider - Skilled Nursing Facility 7618904731 Practice locations: Cicero, NY

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00356405MedicaidNY

Other names

  • Rosewood Heights Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2007.

{
    "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"
        }
    ]
}

Other providers in Syracuse, NY

All providers in Syracuse, NY · Skilled Nursing Facility in New York

Sources for this page

Verify at the official NPI Registry.