CLR Minoa LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3334304N Issued in NY

Legal business name

CLR MINOA LLC

Doing business as

Onondaga Center for Rehabilitation and Nursing

Practice address

217 East Ave
Minoa, NY 13116

Phone

(315) 656-7277

Fax

(315) 656-2517

NPI assigned

Jun 5, 2017

Last updated

Jun 11, 2019By 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

Amir Abramchik

Title

Member

Phone

(718) 931-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Onondaga Center for Rehabilitation and Nursing Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396274346. Details of each certification follow.

• CCN 335548 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335548

Legal name

CLR MINOA LLC

Doing business as

ONONDAGA CENTER FOR REHABILITATION AND NURSING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1973

Last certification

May 10, 2024

Beds

82

Ownership / control type

Corporation

Multi-facility organization

Centers Healthcare

Organization structure

LLCProprietary

Incorporated

Apr 30, 2015 in NY

Enrollment address

217 East Ave
Minoa, NY 13116-1205

Nursing home name

ONONDAGA CENTER FOR REHABILITATION AND NURSING

Affiliated entity

CENTERS HEALTH CARE

Listed as

Onondaga Center for Rehabilitation and NursingCCN 335548 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 1, 1973

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8278.4 residents per day on average

Chain

Centers Health Care36 facilities in the chain

Special focus status

SFF Candidate

Penalties (3 years)

3Fines totaling $191,992

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 15

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.

• Darshan Patel, MD

  • Hospitalist Physician
  • Cortland, NY
  • NPI 1962662957

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Aart Geurtsen, MD

  • Hospitalist Physician
  • Syracuse, NY
  • NPI 1104805167
  NPD (past)
• Jerzy Miroslaw Rogowski, MD

  • Internal Medicine Physician
  • New Hartford, NY
  • NPI 1144561721
  NPD (past)

Affiliated clinicians 1

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

• Jerzy Miroslaw Rogowski, MD

  • Internal Medicine Physician
  • New Hartford, NY
  • NPI 1144561721

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1396274346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701104",
            "telephone_number": "718-931-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 EAST AVE",
            "city": "MINOA",
            "state": "NY",
            "postal_code": "13116",
            "telephone_number": "315-656-7277",
            "fax_number": "315-656-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLR MINOA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ABRAMCHIK",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-931-9700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3334304N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00774465",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onondaga Center for Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Bloodough
• Heather Boland
• Michelle L Brooks
• Christopher Bumpus, RN
• Christine Byrne
• Meaghan Dematties
• Sandra Dulasky
• Yulonda Theresa Frayer, LICENSED PRACTICAL
• Tyeasha Gregory
• Debra Katherine Hatch, RN

• Skilled Nursing Facility in Minoa, NY
• Providers in Minoa, 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 Jun 11, 2019; 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.