Crouse-Community Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2623300N Issued in NY

Legal business name

CROUSE-COMMUNITY CENTER, INC

Practice address

101 South St
Morrisville, NY 13408-2106

Phone

(315) 684-9595

Fax

(315) 684-9275

NPI assigned

Nov 16, 2005

Last updated

Feb 22, 2023By 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

Ms. Vicki L Highers

Title

Controller

Phone

(315) 684-5117

Specialties & licenses 2

Addresses

Other identifiers 2

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 1376525378. Details of each certification follow.

• CCN 335068 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335068

Legal name

CROUSE-COMMUNITY CENTER, INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Jan 13, 2025

Beds

120

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 26, 1989 in NY

Enrollment address

101 South St
Morrisville, NY 13408-2106

Nursing home name

CROUSE COMMUNITY CENTER INC

Listed as

Crouse Community Center IncCCN 335068 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120113.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 7

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

Practitioners 1

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.

• Todd M Podkowka, D.O.

  • Family Medicine Physician
  • Boonville, NY
  • NPI 1174633622
  Medicare reassignment NPD

Affiliated clinicians 1

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

• Todd M Podkowka, D.O.

  • Family Medicine Physician
  • Boonville, NY
  • NPI 1174633622

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1376525378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SOUTH ST",
            "city": "MORRISVILLE",
            "state": "NY",
            "postal_code": "134082106",
            "telephone_number": "315-684-9595",
            "fax_number": "315-684-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH ST",
            "city": "MORRISVILLE",
            "state": "NY",
            "postal_code": "134082106",
            "telephone_number": "315-684-9595",
            "fax_number": "315-684-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROUSE-COMMUNITY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "HIGHERS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "315-684-5117",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2623300N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01927999",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474337",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Caloia, RPH
• Catania Chiropractic PC
• CMV Pharmacy Inc (Dougherty Pharmacy LTC)
• CMV Pharmacy Inc. (Dougherty Pharmacy)
• Community Memorial Hospital
• Michael Doscher, DOCTOR OF PHARMACY
• Dougherty Pharmacy Inc.
• Jordan Farrar
• Jamie Hagenbuch
• Hannah Hawes, LPN

• Skilled Nursing Facility in Morrisville, NY
• Providers in Morrisville, 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 Feb 22, 2023; 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.