BH Danbury LLC
Organization Active NPI Skilled Nursing Facility · Danbury, CT
NPI 1013757269 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1013757269
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BH DANBURY LLC
- Practice address
- 107 Osborne St
Danbury, CT 06810-6016 - Phone
- (203) 792-8102
- NPI assigned
- May 27, 2024
- Organization subpart
- No
Authorized official
- Name
- Yehuda Pepper
- Title
- Owner
- Phone
- (203) 792-8102
Owners & managing parties with NPI records 1
-
Marc N Raad, M.D.
Facilities with the same owner 8
Affiliated clinicians 1
-
Marc N Raad, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Civita Care Center at Danbury
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Oct 22, 1976
- Medicare certification status
- Active
- Certified beds
- 180 · 112.1 residents per day on average
- Chain
- Civita Care Centers
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 1 · fines totaling $9,110
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0101077 | Civita Care Center at Danbury | Certificate of waiver | Jul 2, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Skilled nursing facility certification: CCN 075274
- Legal name
- BH DANBURY LLC
- Doing business as
- CIVITA CARE CENTER AT DANBURY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 22, 1976
- Last certification
- Jun 8, 2023
- Beds
- 180
- Ownership / control type
- Individual
- Most recent change of ownership
- Oct 1, 2024
- Organization structure
- LLC · Proprietary
- Enrollment address
- 107 Osborne St
Danbury, CT 06810-6016 - Nursing home name
- CIVITA CARE CENTER AT DANBURY
- Affiliated entity
- CIVITA CARE CENTERS
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Elliot Schwarcz |
5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 50% |
| 5% Or Greater Mortgage Interest | Oct 1, 2024 | 15% | |
| Adp of the SNF | Oct 1, 2024 | ||
| Marc N Raad |
Operational/Managerial Control | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Esnh LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 50% |
| Adp of the SNF | Oct 1, 2024 | ||
| Chioma Thomas |
Operational/Managerial Control | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| SFNH LLC |
Adp of the SNF | Oct 1, 2024 | |
| Yehuda L Pepper |
5% Or Greater Indirect Ownership Interest |
Oct 1, 2024 | 50% |
| Operational/Managerial Control | Oct 1, 2024 | ||
| Managing Control - Governing Body |
Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| JPNH LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 50% |
| Adp of the SNF | Oct 1, 2024 | ||
| CT6 Opco Holdco LLC |
5% Or Greater Direct Ownership Interest | Oct 1, 2024 | 100% |
| Everflow Healthcare LLC |
Adp of the SNF | Oct 1, 2024 | |
| 107 Osborne LLC |
5% Or Greater Mortgage Interest | Oct 1, 2024 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250130003138 | CT | Part a Provider - Skilled Nursing Facility | 5890224125 | Practice locations: Danbury, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
107 Osborne St
Danbury, CT 06810-6016
Mailing address
317 S Little Tor Rd
New City, NY 10956-1431
Other providers in Danbury, CT
- Alexa Berube
- Best Dental Care
- Maryellen Betit
- Paul J Betschart
- Betty Klein, M.D., P.C.
- Amarpreet Bhalla
- Sadikshya Bhandari
- Samikshya Bhandari
- Deeksha Bhattarai
- Masooma Bhatti
All providers in Danbury, CT · Skilled Nursing Facility in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.