Organization Active NPI

Pomperaug Woods, Inc.

Doing business as Pomperaug Woods Health Center

  • Skilled Nursing Facility
  • Southbury, CT
National Provider Identifier
1154305290
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2033-C Issued in CT
Legal business name
POMPERAUG WOODS, INC.
Doing business as
Pomperaug Woods Health Center
Practice address
80 Heritage Rd
Southbury, CT 06488-3851
Phone
(203) 262-6555
Fax
(203) 264-2155
NPI assigned
Dec 2, 2005
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
William B Neil Jr.
Title
President
Phone
(203) 262-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2033-C CT Primary

Addresses

Primary practice location

80 Heritage Rd
Southbury, CT 06488-3851

Mailing address

80 Heritage Rd
Southbury, CT 06488-1882
Phone (203) 262-6555

Other names 1

  • Pomperaug Woods Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070828000218 CT Part A Provider - Skilled Nursing Facility 1456443035 Practice locations: Southbury, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154305290. Details of each certification follow.

Skilled nursing facility certification: CCN 075318

Legal name
POMPERAUG WOODS INC
Doing business as
POMPERAUG WOODS HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
May 18, 1988
Last certification
Oct 16, 2024
Beds
37
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
80 Heritage Rd
Southbury, CT 06488-1882
Nursing home name
POMPERAUG WOODS HEALTH CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pomperaug Woods Health CenterCCN 075318 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
May 18, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3731.0 residents per day on average
Penalties (3 years)
2Fines totaling $20,872

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
07D0700771Pomperaug Woods Inc80 Heritage Rd, Southbury, CT 06488Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Vicki Gyba Individual Operational/Managerial Control Jun 24, 2024
Adp of the SNF Mar 20, 2025
Marc N Raad Individual Operational/Managerial Control Jul 1, 2021
Adp of the SNF Mar 31, 2025
Mary E Wnuck Individual Corporate OfficerTreasurer Jan 25, 2021
Corporate DirectorBoard Member Feb 7, 2017
Jane C. Connery Individual Corporate OfficerVice President Jan 25, 2021
Corporate DirectorBoard Member Jan 1, 2012
Patrick Monahan Individual Corporate DirectorBoard Member Oct 1, 2023
Newtown Savings Bank Organization, Newtown, CT Corporation, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Jun 5, 2020 8%
5% Or Greater Security Interest Jun 5, 2020 8%
Greg Lukos Individual Corporate OfficerSecretary Feb 1, 2024
Corporate DirectorBoard Member Feb 1, 2024
Matthew Mihalcik Individual Corporate OfficerPresident Jan 1, 2025
Corporate DirectorBoard Member Dec 1, 2018
Karen F Schwarzchild Individual Corporate DirectorBoard Member Feb 1, 2024
Christine Edelson Individual Corporate DirectorBoard Member Mar 1, 2022
Antonio Vas Individual Corporate DirectorBoard Member May 1, 2021
Helena M Jedlinsky Individual Corporate DirectorBoard Member Dec 10, 2019

Owners & managing parties with NPI records 2

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

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": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1154305290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HERITAGE RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881882",
            "telephone_number": "203-262-6555",
            "fax_number": "203-264-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HERITAGE RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883851",
            "telephone_number": "203-262-6555",
            "fax_number": "203-264-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPERAUG WOODS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "NEIL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-262-6555",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2033-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomperaug Woods Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.