Norwalk Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2401 Issued in CT

Legal business name

NORWALK OPERATIONS LLC

Doing business as

Autumn Lake Healthcare At Norwalk

Practice address

34 Midrocks Dr
Norwalk, CT 06851-1626

Phone

(203) 847-9686

NPI assigned

Oct 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Aryeh Stern

Title

Member

Phone

(732) 358-6883

Specialties & licenses 1

Addresses

Other names 1

• Autumn Lake Healthcare At Norwalk Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Skilled nursing facility certification: CCN 075387

Legal name

NORWALK OPERATIONS LLC

Doing business as

AUTUMN LAKE HEALTHCARE AT NORWALK

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 30, 1993

Last certification

Jul 23, 2024

Beds

150

Ownership / control type

Individual

Organization structure

LLCProprietary

Enrollment address

34 Midrocks Dr
Norwalk, CT 06851-1626

Nursing home name

AUTUMN LAKE HEALTHCARE AT NORWALK

Affiliated entity

AUTUMN LAKE HEALTHCARE

Listed as

Autumn Lake Healthcare at NorwalkCCN 075387 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jul 30, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

150141.4 residents per day on average

Chain

Autumn Lake Healthcare59 facilities in the chain

Penalties (3 years)

1Fines totaling $12,834

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Tax ID family

Aurora Senior Living of Norwalk LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aurora Senior Living of Norwalk, LLC

  • Skilled Nursing Facility
  • Norwalk, CT
  • NPI 1356629695
  NPD tax ID

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

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

• Jack V Diteodoro, M.D.

  • Family Medicine Physician
  • Stamford, CT
  • NPI 1346338837

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jack V Diteodoro, M.D.

  • Family Medicine Physician
  • Stamford, CT
  • NPI 1346338837

  Nursing home

  Care Compare affiliation
• Lazaros Lazarides, M.D.

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1619958899

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1154725125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 ROUTE 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313351",
            "telephone_number": "732-358-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MIDROCKS DR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511626",
            "telephone_number": "203-847-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWALK OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "ARYEH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-358-6883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Lake Healthcare At Norwalk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Norwalk Medical Group
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• Norwalk Orthodontics
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• Norwalk Pharmacy LLC
• Norwalk Public Schools

• Skilled Nursing Facility in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.