Active NPI
Chamberlain Health Care Inc
Doing business as Lord Chamberlain Manor
- Skilled Nursing Facility
- Stratford, CT
National Provider Identifier
1063411080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2197-C
- Legal business name
- CHAMBERLAIN HEALTH CARE INC
- Doing business as
- Lord Chamberlain Manor
- Practice address
- 7003 Main St
Stratford, CT 06614-1393 - Phone
- (203) 375-5894
- Fax
- (203) 375-1199
- NPI assigned
- Jul 20, 2005
- Last updated
- May 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Bates
- Title
- Administrator
- Phone
- (203) 375-5894
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2197-C | CT | Primary |
Addresses
Primary practice location
7003 Main St
Stratford, CT 06614-1393
Mailing address
7003 Main St
Stratford, CT 06614-1393
Phone (203) 375-5894
Other names 1
- Lord Chamberlain Manor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070207000019 | CT | Part A Provider - Skilled Nursing Facility | 3870595721 | Practice locations: Stratford, CT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1063411080. Details of each certification follow.
Skilled nursing facility certification: CCN 075412
- Legal name
- CHAMBERLAIN HEALTH CARE INC
- Doing business as
- CHAMBERLAIN MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Aug 1, 1996
- Last certification
- Oct 25, 2024
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- RYDERS HEALTH MANAGEMENT
- Organization structure
- LLC
- Enrollment address
- 7003 Main St
Stratford, CT 06614-1393 - Nursing home name
- LORD CHAMBERLAIN MANOR NURSING & REHABILITATION CENTER
- Affiliated entity
- RYDERS HEALTH MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lord Chamberlain Manor Nursing & Rehabilitation Ce
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 1, 1996
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- Ryders Health Management
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Martin Sbriglio | 5% Or Greater Direct Ownership Interest | Feb 1, 1995 | 50% |
| Operational/Managerial Control | Feb 1, 1995 | ||
| Robert Sbriglio | 5% Or Greater Direct Ownership Interest | Feb 1, 1995 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Stratford, CT
- NPI 1447291497
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Bridgeport, CT
- NPI 1083671861
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431302400000",
"number": "1063411080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7003 MAIN ST",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066141393",
"telephone_number": "203-375-5894",
"fax_number": "203-375-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7003 MAIN ST",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066141393",
"telephone_number": "203-375-5894",
"fax_number": "203-375-1199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAMBERLAIN HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-20",
"last_updated": "2015-05-11",
"status": "A",
"authorized_official_last_name": "BATES",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "203-375-5894",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "2197-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lord Chamberlain Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.