Active NPI
Gladeview Health Care Center Inc
- Skilled Nursing Facility
- Old Saybrook, CT
National Provider Identifier
1205873742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2024-C
- Legal business name
- GLADEVIEW HEALTH CARE CENTER INC
- Practice address
- 60 Boston Post Rd
Old Saybrook, CT 06475 - Phone
- (860) 388-6696
- Fax
- (860) 395-0093
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stacy M. Lacasse
- Title
- Administrator
- Phone
- (860) 388-6696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2024-C | CT | Primary |
Addresses
Primary practice location
60 Boston Post Rd
Old Saybrook, CT 06475
Mailing address
60 Boston Post Rd
Old Saybrook, CT 06475-1503
Phone (860) 388-6696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000020248 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030716000025 | CT | Part A Provider - Skilled Nursing Facility | 3072424902 | Practice locations: Old Saybrook, CT |
Skilled nursing facility certification: CCN 075313
- Legal name
- GLADEVIEW HEALTH CARE CENTER INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 9, 1987
- Last certification
- Nov 22, 2024
- Beds
- 132
- Ownership / control type
- Individual
- Organization structure
- Corporation
- Enrollment address
- 60 Boston Post Rd
Old Saybrook, CT 06475-1503 - Nursing home name
- GLADEVIEW HEALTH CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Gladeview Health Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Oct 9, 1987
- Medicare certification status
- Active
- Certified beds
- 132
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0670863 | Gladeview Health Care | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Linda Sugers | 5% Or Greater Direct Ownership Interest | Apr 9, 2001 | 100% |
| Corporate Director | Apr 9, 2001 | ||
| Adp of the SNF | Dec 12, 2024 | ||
| Stacy Lacasse | Corporate Director | Apr 7, 1995 | |
| Adp of the SNF | Mar 5, 2025 | ||
| Paul Knutsen | Corporate Officer | Feb 23, 2009 | 100% |
| Operational/Managerial Control | Oct 1, 2012 | ||
| Adp of the SNF | Mar 5, 2025 |
Practitioners & affiliated clinicians
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": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534723200000",
"number": "1205873742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BOSTON POST RD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751503",
"telephone_number": "860-388-6696",
"fax_number": "860-395-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 BOSTON POST RD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "06475",
"telephone_number": "860-388-6696",
"fax_number": "860-395-0093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLADEVIEW HEALTH CARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2018-08-20",
"status": "A",
"authorized_official_last_name": "LACASSE",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "860-388-6696",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "2024-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000020248",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.