Waterbury Center for Nursing & Rehabilitation, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WATERBURY CENTER FOR NURSING & REHABILITATION, LLC

Practice address

177 Whitewood Rd
Waterbury, CT 06708-1545

Phone

(203) 707-5800

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Menajem Salamon

Title

Principal

Phone

(718) 882-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013583483. Details of each certification follow.

• CCN 075219 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075219

Legal name

WATERBURY CENTER FOR NURSING & REHABILITATION LLC

Doing business as

WATERBURY CENTER FOR NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 6, 1972

Last certification

Dec 20, 2024

Beds

120

Ownership / control type

Partnership

Most recent change of ownership

Jul 1, 2009

Organization structure

LLCProprietary

Incorporated

Feb 23, 2021 in CT

Enrollment address

177 Whitewood Rd
Waterbury, CT 06708-1545

Nursing home name

WATERBURY CENTER FOR NURSING & REHABILITATION LLC

Affiliated entity

ESSENTIAL HEALTHCARE

Listed as

Waterbury Center for Nursing & Rehabilitation LLCCCN 075219 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Jun 6, 1972

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120111.6 residents per day on average

Chain

Essential Healthcare6 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 13

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.

• Marc N Raad, M.D.

  • Internal Medicine Physician
  • Wolcott, CT
  • NPI 1316085665

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

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

• Marc N Raad, M.D.

  • Internal Medicine Physician
  • Wolcott, CT
  • NPI 1316085665

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1013583483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 WHITEWOOD RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081545",
            "telephone_number": "203-707-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 WHITEWOOD RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081545",
            "telephone_number": "203-707-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERBURY CENTER FOR NURSING & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "SALAMON",
        "authorized_official_first_name": "MENAJEM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "718-882-6400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009001",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William James Ward, RN
• Jessica A Warner, MA,BA
• Pamela Nicole Warren, PA-C
• Lori A Washenko, APRN, NP-C
• Waterbury Anesthesiology Assoc. Inc
• Waterbury Chiropractic Office LLC (Active Life Chiropractic)
• Waterbury Counseling Affiliates
• Waterbury Dental Care P.C.
• Waterbury Dental Care, P.C.
• Waterbury Eye Associates LLC

• Skilled Nursing Facility in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.