NPIMap

Organization Active NPI

Portland Care and Rehabilitation Centre

  • Skilled Nursing Facility
  • Portland, CT
National Provider Identifier
1003947177
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
871-C Issued in CT
Legal business name
PORTLAND CARE AND REHABILITATION CENTRE
Practice address
333 Main St
Portland, CT 06480-1561
Phone
(860) 342-0370
Fax
(860) 342-3020
NPI assigned
Mar 8, 2007
Last updated
Jul 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Mr. Gerald Yuska
Title
Coo
Phone
(860) 342-0370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 871-C CT Primary

Addresses

Primary practice location

333 Main St
Portland, CT 06480-1561

Mailing address

333 Main St
Portland, CT 06480-1561
Phone (860) 342-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111202000252 CT Part A Provider - Skilled Nursing Facility 6901083898 Practice locations: Portland, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003947177. Details of each certification follow.

Skilled nursing facility certification: CCN 075214

Legal name
PORTLAND CARE AND REHABILITATION CENTRE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 16, 1971
Last certification
Jun 17, 2024
Beds
65
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 1, 1971 in CT
Enrollment address
333 Main St
Portland, CT 06480-1561
Nursing home name
PORTLAND CARE & REHAB CENTRE, INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Portland Care & Rehab Centre, INCCCN 075214 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 16, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6557.3 residents per day on average
Penalties (3 years)
1Fines totaling $10,033

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gerald Yuska Individual 5% Or Greater Direct Ownership Interest Nov 25, 2020 100%
Corporate DirectorPresident Dec 13, 2008
W-2 Managing EmployeeAdministrator Nov 25, 2020 100%

Practitioners & affiliated clinicians

Practitioners 6

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1003947177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MAIN ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801561",
            "telephone_number": "860-342-0370",
            "fax_number": "860-342-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAIN ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801561",
            "telephone_number": "860-342-0370",
            "fax_number": "860-342-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND CARE AND REHABILITATION CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "YUSKA",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "860-342-0370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "871-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, CT

Sources for this page

Verify at the official NPI Registry.