Active NPI
Matulaitis Nursing Home, Inc.
- Skilled Nursing Facility
- Putnam, CT
National Provider Identifier
1093822843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0989
- Legal business name
- MATULAITIS NURSING HOME, INC.
- Practice address
- 10 Thurber Rd
Putnam, CT 06260-2518 - Phone
- (860) 928-7976
- NPI assigned
- Aug 25, 2006
- 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
- Beth J Gregoire
- Title
- Patient Accounts
- Phone
- (860) 928-7976
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0989 | CT | Primary |
| Nursing Facility Supplies (DME) | 332BN1400X | 5784720001 | CT | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 5784720001 | CT |
Addresses
Primary practice location
10 Thurber Rd
Putnam, CT 06260-2518
Mailing address
10 Thurber Rd
Putnam, CT 06260-2518
Phone (860) 928-7976
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000009894 | Medicaid | CT | |
| 5784720001 | Other | CT | NSC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120321000533 | CT | Part A Provider - Skilled Nursing Facility | 0446427116 | Practice locations: Putnam, CT |
Skilled nursing facility certification: CCN 075411
- Legal name
- MATULAITIS NURSING HOME, INC.
- Doing business as
- MATULAITIS REHABILITATION AND SKILLED CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1996
- Last certification
- Dec 19, 2024
- Beds
- 119
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 14, 1968 in CT
- Enrollment address
- 10 Thurber Rd
Putnam, CT 06260-2518 - Nursing home name
- MATULAITIS REHABILITATION & SKILLED CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Matulaitis Rehabilitation & Skilled Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Feb 1, 1996
- Medicare certification status
- Active
- Certified beds
- 119
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Bernadette Matukas | Corporate Director | Jan 28, 2016 | |
| John Miller | Corporate Director | Jan 28, 2016 | |
| Ramona Savoiis | Corporate Director | Jan 28, 2016 | |
| Robert Fournier | Corporate Officer | Jan 28, 2016 | |
| Edwin C Higgins | Corporate Officer | Jan 28, 2016 | |
| Lisa a Ryan | Corporate Officer | Apr 23, 2018 | 100% |
| Operational/Managerial Control | Apr 23, 2018 | 100% | |
| Vita E Matusaitis | Corporate Director | Jan 28, 2016 | |
| Ernest J Cotnoir | Corporate Director | Jan 28, 2016 | |
| Beth J Greguire | Corporate Director | Jul 11, 2018 | 100% |
| Gintaras Cepas | Corporate Officer | Jan 28, 2016 | |
| Eugenia Lukoshius | Corporate Officer | Jan 28, 2016 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Danielson, CT
- NPI 1447285986
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Danielson, CT
- NPI 1447285986
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1093822843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 THURBER RD",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062602518",
"telephone_number": "860-928-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 THURBER RD",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062602518",
"telephone_number": "860-928-7976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATULAITIS NURSING HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "GREGOIRE",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PATIENT ACCOUNTS",
"authorized_official_telephone_number": "860-928-7976"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "0989",
"primary": true
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "CT",
"license": "5784720001",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "CT",
"license": "5784720001",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000009894",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC NUMBER",
"identifier": "5784720001",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.