Organization Active NPI

Matulaitis Nursing Home, Inc.

  • Skilled Nursing Facility
  • Putnam, CT
National Provider Identifier
1093822843
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0989 Issued in CT
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

Updated by the provider on Apr 21, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000009894MedicaidCT
5784720001OtherCTNSC NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CareCCN 075411 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
119106.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Bernadette Matukas Individual Corporate DirectorBoard Member Jan 28, 2016
John Miller Individual Corporate DirectorBoard Member Jan 28, 2016
Ramona Savoiis Individual Corporate DirectorBoard Member Jan 28, 2016
Robert Fournier Individual Corporate OfficerVice President - Board of Direct Jan 28, 2016
Edwin C Higgins Individual Corporate OfficerSecretary - Board of Directors Jan 28, 2016
Lisa a Ryan Individual Corporate OfficerCeo Apr 23, 2018 100%
Operational/Managerial ControlAdministrator Apr 23, 2018 100%
Vita E Matusaitis Individual Corporate DirectorBoard Member Jan 28, 2016
Ernest J Cotnoir Individual Corporate DirectorBoard Member Jan 28, 2016
Beth J Greguire Individual Corporate DirectorAccounts Receivable Director Jul 11, 2018 100%
Gintaras Cepas Individual Corporate OfficerPresident - Board of Directors Jan 28, 2016
Eugenia Lukoshius Individual Corporate OfficerTreasurer - Board of Directors 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.

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.