Organization Active NPI

Wat Opco LLC

  • Skilled Nursing Facility
  • Tolland, CT
National Provider Identifier
1205406162
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WAT OPCO LLC
Practice address
26 Shenipsit Lake Rd
Tolland, CT 06084-2332
Phone
(860) 872-2999
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Rachel Shakow
Title
Authorized Official
Phone
(781) 784-6781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

26 Shenipsit Lake Rd
Tolland, CT 06084-2332

Mailing address

26 Shenipsit Lake Rd
Tolland, CT 06084-2332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220127001104 CT Part A Provider - Skilled Nursing Facility 4981096781 Practice locations: Tolland, CT

Skilled nursing facility certification: CCN 075382

Legal name
WAT OPCO LLC
Doing business as
WOODLAKE AT TOLLAND
Certification status
Active
Provider type (POS)
Nursing home โ€“ SNF/NF dual certification
Participating since
Mar 16, 1993
Last certification
Mar 26, 2024
Beds
130
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
26 Shenipsit Lake Rd
Tolland, CT 06084-2332
Nursing home name
WOODLAKE AT TOLLAND

Care Compare: Nursing home

Medicare Care Compare
Listed as
Woodlake at TollandCCN 075382 ยท All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 16, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130112.7 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 1

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

NameRoleSinceShare
Rachel Shakow Individual 5% Or Greater Direct Ownership Interest Jul 1, 2021 91%
Corporate Director Jul 1, 2021
W-2 Managing EmployeeManager Jul 1, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1205406162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SHENIPSIT LAKE RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SHENIPSIT LAKE RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842332",
            "telephone_number": "860-872-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAT OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "SHAKOW",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "781-784-6781"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolland, CT

Sources for this page

Verify at the official NPI Registry.