Jacc Healthcare Center of Danielson, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JACC HEALTHCARE CENTER OF DANIELSON, LLC

Doing business as

Davis Place

Practice address

111 Westcott Rd
Danielson, CT 06239-2929

Phone

(860) 774-9540

Fax

(860) 779-9170

NPI assigned

Oct 14, 2014

Last updated

Mar 18, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

JACC HEALTHCARE GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Scott L Ziskin

Title

President & Ceo

Phone

(860) 774-9540

Specialties & licenses 1

Addresses

Other names 1

• Davis Place Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164826517. Details of each certification follow.

• CCN 075423 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075423

Legal name

JACC HEALTHCARE CENTER OF DANIELSON LLC

Doing business as

DAVIS PLACE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 3, 2000

Last certification

Aug 15, 2024

Beds

190

Ownership / control type

Individual

Most recent change of ownership

Dec 15, 2014

Organization structure

LLCProprietary

Incorporated

Sep 11, 2014 in CT

Enrollment address

111 Westcott Rd
Danielson, CT 06239-2929

Nursing home name

DAVIS PLACE

Listed as

Davis PlaceCCN 075423 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Mar 3, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

190167.9 residents per day on average

Penalties (3 years)

1Fines totaling $14,015

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

Davis Place2 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.

• Regency Heights of Danielson, LLC

  • Skilled Nursing Facility
  • Danielson, CT
  • NPI 1184854150
  NPD tax ID

All disclosed owners & managing parties 7

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.

• Joseph Alessandro, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Danielson, CT
  • NPI 1447285986

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 6

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

• Joseph Alessandro, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Danielson, CT
  • NPI 1447285986

  Nursing home

  Care Compare affiliation
• Raja Fattaleh, MD

  • Family Medicine Physician
  • Putnam, CT
  • NPI 1841283439

  Nursing home

  Care Compare affiliation
• Bulent Ozcakar

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1174935894

  Nursing home

  Care Compare affiliation
• Anthony John Purcell, D.O.

  • Family Medicine Physician
  • Danielson, CT
  • NPI 1548245491

  Nursing home

  Care Compare affiliation
• Lee Scott Wesler, MD

  • Internal Medicine Physician
  • Dayville, CT
  • NPI 1982766325

  Nursing home

  Care Compare affiliation
• Richard Jay Wilcon, M.D.

  • Internal Medicine Physician
  • Moosup, CT
  • NPI 1982627188

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1164826517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WESTCOTT RD",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392929",
            "telephone_number": "860-774-9540",
            "fax_number": "860-779-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WESTCOTT RD",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392929",
            "telephone_number": "860-774-9540",
            "fax_number": "860-779-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACC HEALTHCARE CENTER OF DANIELSON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACC HEALTHCARE GROUP, LLC",
        "enumeration_date": "2014-10-14",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "ZISKIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "860-774-9540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim M Hopkins, RPH
• Mariah Hornsby, LMT
• Pamela J Howell, RN, CDE
• Sarah Hubert
• Inlight Professional Counseling Services LLC
• Vanessa Sitara B Jacob, MD
• Jessica Marie Janczyk, LPC
• Jessica a. Haeseler, LCSW LLC
• Pamela Johnson, FNP-BC
• Donna Johnston, MSW

• Skilled Nursing Facility in Danielson, CT
• Providers in Danielson, 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 Mar 18, 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.