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MEADOWBROOK HEALTHCARE
NPI 1215930292
Skilled Nursing Facility in Plattsburgh, NY

Active since May 24, 2005CLIA 33D0165015 · Waiver
1/5
Overall Rating
154 PROSPECT AVE, PLATTSBURGH, NY 12901(518) 563-5440(518) 563-1206 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Meadowbrook Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEADOWBROOK HEALTHCARE (NPI 1215930292) is a healthcare organization registered as a skilled nursing facility in Plattsburgh, New York and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Paul F. Richards, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215930292
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCGSR, INC
Location Address154 PROSPECT AVEPlattsburgh, NY 12901-1302
Mailing Address154 Prospect AvePlattsburgh, NY 12901-1302 · (518) 563-5440 · Fax (518) 563-1206
Phone(518) 563-5440
Fax(518) 563-1206
Organization SubpartNo
Authorized OfficialPaul F. RichardsAdministrator · (518) 563-5440
Enumeration DateMay 24, 2005
Last NPPES UpdateDecember 31, 2019
✔ NPI 1215930292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in NY · 0901303N
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X
154 PROSPECT AVE, Plattsburgh, NY 12901
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Other Names 1

Doing Business AsMeadowbrook Healthcare

Other Identifiers 4

Other0901303NNY · Operating Certificate Num
Other0140NY · Pfi
Other08-41529-7NY · Nys Employer Id
Medicaid02994732NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meadowbrook Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Meadowbrook Healthcare, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Joshua Korb, APRN
Nurse Practitioner
NPI 1104594407
154 PROSPECT AVE
Plattsburgh, NY 12901
(518) 563-5440
✔ PECOS✔ Accepts MedicareSame address
Kevin Mccullum, MD
Family Practice
NPI 1063518975
96 COURT ST
Plattsburgh, NY 12901
(518) 562-1080
✔ PECOS✔ Accepts Medicare0.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0165015

Meadowbrook Healthcare · Plattsburgh, NY
Active · expires Mar 26, 2027
CLIA Number33D0165015
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 12, 2002
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Debra J. Clark
Laboratory Phone(518) 563-5440
Laboratory LocationMeadowbrook Healthcare154 Prospect Ave, Plattsburgh, NY 12901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Meadowbrook Healthcare (CMS certification number 335438), from CMS Care Compare.

Meadowbrook Healthcare

Nursing home · Plattsburgh, NY
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number335438
Certified Beds287 beds241 residents per day on average
Medicare & Medicaid Participant SinceMay 1, 1975
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
26.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.96 · LPN 0.64 · RN 0.48
3.09 hrs per resident per day
Weekend Nurse Staffing
2.72 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
37.1%
Registered Nurse Turnover
37.1%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
1 totaling $657.80
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cgsr, Inc's NPI number?

The NPI number for Cgsr, Inc is 1215930292. It was assigned to this organization in the NPPES registry on May 24, 2005. The provider is doing business as Meadowbrook Healthcare.

Where is Cgsr, Inc located?

Cgsr, Inc is located at 154 Prospect Ave, Plattsburgh, NY 12901. The listed phone number is (518) 563-5440.

What is Cgsr, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Cgsr, Inc enrolled in Medicare?

Yes. Cgsr, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cgsr, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Cgsr, Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cgsr, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0165015) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Cgsr, Inc a Medicare-certified nursing home?

Yes. Meadowbrook Healthcare is a Medicare-certified nursing home with 287 certified beds.

What quality rating does Cgsr, Inc have?

CMS rates Meadowbrook Healthcare 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Cgsr, Inc was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.