Im Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IM OPCO LLC

Practice address

400 N Main St
Bristol, CT 06010-4923

Phone

(860) 584-3400

NPI assigned

Oct 20, 2025

Last updated

Oct 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Shakow

Title

Manager

Phone

(646) 660-2350

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215804844. Details of each certification follow.

• CCN 075329 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075329

Legal name

IM OPCO LLC

Doing business as

INGRAHAM MANOR REHAB AND NURSING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 29, 1989

Last certification

Oct 27, 2023

Beds

128

Ownership / control type

Nonprofit Corporation

Organization structure

LLCProprietary

Enrollment address

400 N Main St
Bristol, CT 06010-4923

Nursing home name

INGRAHAM MANOR REHAB AND NURSING

Listed as

Ingraham Manor Rehab and NursingCCN 075329 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 29, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

128110.8 residents per day on average

Penalties (3 years)

3Fines totaling $34,369

Ownership change

Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 15

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.

• Wilfred U Elaba, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hartford, CT
  • NPI 1538175765

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 5

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

• Doris L Altherr, MD

  • Internal Medicine Physician
  • Plainville, CT
  • NPI 1881680775

  Nursing home

  Care Compare affiliation
• Gary Miller, MD

  • Internal Medicine Physician
  • Canton, CT
  • NPI 1528027430

  Nursing home

  Care Compare affiliation
• Hasmukh Lalajibhai Patel, MD

  • Internal Medicine Physician
  • Bristol, CT
  • NPI 1659792588

  Nursing home

  Care Compare affiliation
• Kalpesh Patel, M.D

  • Internal Medicine Physician
  • Waterbury, CT
  • NPI 1366785800

  Nursing home

  Care Compare affiliation
• Roshani Patel

  • Internal Medicine Physician
  • Bristol, CT
  • NPI 1265853154

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1215804844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104923",
            "telephone_number": "860-584-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "SHAKOW",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-660-2350"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Hurwitz
• Rebecca Iannucci, APRN FNP-BC
• Adnan Idlibi, DMD
• Ammar Idlibi, D.M.D
• Ilera Medical LLC
• In Bloom Counseling, LLC
• Dorothy Ingram
• Rosalyn A Ingram, APRN
• Insight Psychotherapy Services, LLC
• Inspiration Psychiatry, LLC

• Skilled Nursing Facility in Bristol, CT
• Providers in Bristol, 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 Oct 20, 2025; 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.