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SULLIVAN COUNTY ADULT CARE CENTER
NPI 1437202959
Skilled Nursing Facility in Liberty, NY

Active since January 19, 2007CLIA 33D0870464 · Waiver
1/5
Overall Rating
256 SUNSET LAKE RD., LIBERTY, NY 12754(845) 292-8640(845) 513-2177 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sullivan County Adult Care Center NPPES

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

SULLIVAN COUNTY ADULT CARE CENTER (NPI 1437202959) is a healthcare organization registered as a skilled nursing facility in Liberty, New York and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Shennoy Wellington, Administrator, as its authorized official.

NPPES Registry Identity

NPI1437202959
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTY OF SULLIVAN
Location Address256 SUNSET LAKE RD.Liberty, NY 12754-0671
Mailing AddressPo Box 671Liberty, NY 12754-0671 · (845) 292-8640 · Fax (845) 513-2177
Phone(845) 292-8640
Fax(845) 513-2177
Organization SubpartNo
Authorized OfficialShennoy WellingtonAdministrator · (845) 292-8640
Enumeration DateJanuary 19, 2007
Last NPPES UpdateApril 16, 2015
✔ NPI 1437202959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in NY · 314000000X
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.
256 SUNSET LAKE RD., Liberty, NY 12754
Open in Google Maps ↗

Other Names 1

Doing Business AsSullivan County Adult Care Center

Other Identifiers 1

Medicaid01415301NY

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 33D0870464

Sullivan County Adult Care Center · Liberty, NY
Active · expires Mar 26, 2027
CLIA Number33D0870464
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 1994
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Deepesh Patel
Laboratory Phone(845) 292-8640
Laboratory LocationSullivan County Adult Care Center256 Sunset Lake Road, Liberty, NY 12754
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 Sullivan County Adult Care Center (CMS certification number 335628), from CMS Care Compare.

Sullivan County Adult Care Center

Nursing home · Liberty, NY
1/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number335628
Certified Beds146 beds113 residents per day on average
Medicare & Medicaid Participant SinceApril 11, 1978
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
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.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
48
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 2.38 · LPN 0.96 · RN 0.69
4.03 hrs per resident per day
Weekend Nurse Staffing
3.19 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
45.5%
Registered Nurse Turnover
44%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
6
Substantiated Complaints
1
Fines
1 totaling $22,340.00
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF SULLIVAN
Skilled Nursing Facility
256 SUNSET LAKE RD.
LIBERTY, NY 12754
Sullivan County (845) 292-8640

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 County Of Sullivan's NPI number?

The NPI number for County Of Sullivan is 1437202959. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is doing business as Sullivan County Adult Care Center.

Where is County Of Sullivan located?

County Of Sullivan is located at 256 Sunset Lake Rd., Liberty, NY 12754. The listed phone number is (845) 292-8640.

What is County Of Sullivan's specialty?

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

Does County Of Sullivan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0870464) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is County Of Sullivan a Medicare-certified nursing home?

Yes. Sullivan County Adult Care Center is a Medicare-certified nursing home with 146 certified beds.

What quality rating does County Of Sullivan have?

CMS rates Sullivan County Adult Care Center 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 County Of Sullivan was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.