Organization Active NPI

Plaza Nursing Home Company Inc.

Doing business as Rosewood Heights Health Center

  • Skilled Nursing Facility
  • Syracuse, NY
National Provider Identifier
1124013115
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3301323N Issued in NY
Legal business name
PLAZA NURSING HOME COMPANY INC.
Doing business as
Rosewood Heights Health Center
Practice address
614 S Crouse Ave
Syracuse, NY 13210-1711
Phone
(315) 474-4431
Fax
(315) 474-7177
NPI assigned
Sep 15, 2005
Last updated
Aug 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Mrs. Joyce G. Warriner, CEO
Title
Ceo/Administrator
Phone
(315) 474-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3301323N NY Primary

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 1

IdentifierTypeStateIssuer
00356405MedicaidNY

Other names 1

  • Rosewood Heights Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124013115. Details of each certification follow.

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
CorporationNon-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

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Cottages at Garden Grove, a Skilled NRSG CommCCN 335340 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
156137.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2146963Cottages at Garden Grove Dba Plaza, the5460 Meltzer Court, Cicero, NY 13039Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

4600 Southwood Heights Dr
Jamesville, NY 13078
Phone (315) 308-3163

Ownership & related parties

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 DirectorChairman 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 DirectorSecretary 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 OfficerAdministrator 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%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.