Otsego SNF Operations Assoc LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OTSEGO SNF OPERATIONS ASSOC LLC

Practice address

128 Phoenix Mills Rd
Cooperstown, NY 13326-5716

Phone

(607) 544-2600

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

Kenneth Rozenberg

Title

Member

Phone

(718) 931-9700

Specialties & licenses 1

Addresses

Other names 1

• Cooperstown Center for Rehabilitation and Nursing Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335412

Legal name

OTSEGO SNF OPERATIONS ASSOC LLC

Doing business as

COOPERSTOWN CENTER FOR REHABILITATION AND NURSING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1974

Last certification

May 2, 2024

Beds

174

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Jan 1, 2018

Organization structure

LLCProprietary

Incorporated

May 26, 2017 in NY

Enrollment address

128 Phoenix Mills Rd
Cooperstown, NY 13326-5716

Nursing home name

COOPERSTOWN CENTER FOR REHABILITATION AND NURSING

Affiliated entity

CENTERS HEALTH CARE

Listed as

Cooperstown Center for Rehabilitation and NursingCCN 335412

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 1, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

174170.4 residents per day on average

Chain

Centers Health Care36 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 5

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.

• Joseph Michael Dimaria

  • Family Medicine Physician
  • Utica, NY
  • NPI 1952506230

  W-2 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.

• Joseph Michael Dimaria

  • Family Medicine Physician
  • Utica, NY
  • NPI 1952506230
  NPD (past)
• James E Lacava, M.D.

  • Internal Medicine Physician
  • Cooperstown, NY
  • NPI 1437110046
  NPD (past)

Affiliated clinicians 1

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

• Joseph Michael Dimaria

  • Family Medicine Physician
  • Utica, NY
  • NPI 1952506230

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1972010601",
    "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": "128 PHOENIX MILLS RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133265716",
            "telephone_number": "607-544-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTSEGO SNF OPERATIONS ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "ROZENBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-931-9700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "Waystar Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cooperstown Center for Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Otsego County Community Services
• Otsego County Early Intervention
• Otsego County Early Intervention
• Otsego County Office for the Aging
• Otsego SNF Operations Assoc LLC
• Victoria Susanne Overrocker, FNP-BC
• Ugur Huseyin Ozturk, MD
• Reid Christian Palatiere, PA
• Donna Michelle Tapalla Pangilinan, NP-C
• Carly E Paquin, PT, DPT

• Skilled Nursing Facility in Cooperstown, NY
• Providers in Cooperstown, 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 Oct 12, 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.