NPIMap

Organization Active NPI

BH Danbury LLC

  • Skilled Nursing Facility
  • Danbury, CT
National Provider Identifier
1013757269
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 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
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Yehuda Pepper
Title
Owner
Phone
(203) 792-8102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

107 Osborne St
Danbury, CT 06810-6016

Mailing address

317 S Little Tor Rd
New City, NY 10956-1431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130003138 CT Part A Provider - Skilled Nursing Facility 5890224125 Practice locations: Danbury, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013757269. Details of each certification follow.

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
LLCProprietary
Enrollment address
107 Osborne St
Danbury, CT 06810-6016
Nursing home name
CIVITA CARE CENTER AT DANBURY
Affiliated entity
CIVITA CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Civita Care Center at DanburyCCN 075274 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
180112.1 residents per day on average
Chain
Civita Care Centers6 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $9,110

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0101077Civita Care Center at Danbury107 Osborne Street, Danbury, CT 06810Certificate of waiverJul 2, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Elliot Schwarcz Individual 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 Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Esnh LLC Organization, Montebello, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2024 50%
Adp of the SNF Oct 1, 2024
Chioma Thomas Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
SFNH LLC Organization, Montebello, NY LLC Adp of the SNF Oct 1, 2024
Yehuda L Pepper Individual 5% Or Greater Indirect Ownership InterestCeo Oct 1, 2024 50%
Operational/Managerial Control Oct 1, 2024
Managing Control - Governing BodyCeo Oct 1, 2024
Adp of the SNF Oct 1, 2024
JPNH LLC Organization, Montebello, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2024 50%
Adp of the SNF Oct 1, 2024
CT6 Opco Holdco LLC Organization, Montebello, NY Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2024 100%
Everflow Healthcare LLC Organization, Montebello, NY LLC Adp of the SNF Oct 1, 2024
107 Osborne LLC Organization, Danbury, CT LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Oct 1, 2024 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

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": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1013757269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S LITTLE TOR RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OSBORNE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106016",
            "telephone_number": "203-792-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH DANBURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "PEPPER",
        "authorized_official_first_name": "YEHUDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-792-8102"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.