Groton Community Health Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GROTON COMMUNITY HEALTH CARE CENTER INC

Practice address

120 Sykes Street
Groton, NY 13073

Phone

(607) 898-5876

Fax

(607) 898-3034

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Patrick Michael Deptula, PRESIDENT/CEO

Title

President/Ceo

Phone

(607) 898-5876

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335658

Legal name

GROTON COMMUNITY HEALTH CARE CENTER INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 4, 1982

Last certification

Dec 4, 2024

Beds

80

Ownership / control type

Nonprofit Corporation

Organization structure

OtherNon-profit

Incorporated

Apr 30, 1973 in NY

Enrollment address

120 Sykes St
Groton, NY 13073-1231

Nursing home name

GROTON COMMUNITY HEALTH CARE CTR RES CARE FAC

Listed as

Groton Community Health Care Ctr Res Care FacCCN 335658

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Nov 4, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8068.5 residents per day on average

Penalties (3 years)

1Fines totaling $132,948

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Groton Community Health Care Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Groton Community Health Care Center Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Groton, NY
  • NPI 1477508083
  NPD tax ID
• Groton Community Health Care Center Inc

  • Case Management Agency
  • Groton, NY
  • NPI 1821042847
  NPD tax ID

All disclosed owners & managing parties 10

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, Contracted Managing Employee

  CMS ownership

Practitioners 2

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

• Darshan Patel, MD

  • Hospitalist Physician
  • Cortland, NY
  • NPI 1962662957
  NPD (past)
• Kwei Ham Daniel Tan, D.O.

  • Family Medicine Physician
  • Endicott, NY
  • NPI 1326533977
  NPD (past)

Affiliated clinicians 1

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

• Kwei Ham Daniel Tan, D.O.

  • Family Medicine Physician
  • Endicott, NY
  • NPI 1326533977

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1760437362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SYKES STREET",
            "city": "GROTON",
            "state": "NY",
            "postal_code": "13073",
            "telephone_number": "607-898-5876",
            "fax_number": "607-898-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SYKES STREET",
            "city": "GROTON",
            "state": "NY",
            "postal_code": "13073",
            "telephone_number": "607-898-5876",
            "fax_number": "607-898-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROTON COMMUNITY HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "DEPTULA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "607-898-5876",
        "authorized_official_credential": "PRESIDENT/CEO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00476971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliana M Cobb, RN
• Adrienne Deforrest, LCSW
• Celena Gaines, LPN
• Groton Central School District
• Groton Community Health Care Center Inc
• Groton Community Health Care Center Inc
• Elizabeth Ann Haines, M.S. CCC-SLP
• Kimberly Henry, F.N.P
• Stacey Kidder, M.S., CCC-SLP
• Robin Daniel Klein, LPN

• All providers in Groton, NY
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.