Shady Knoll Acquisition Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SHADY KNOLL ACQUISITION OPERATOR LLC

Practice address

41 Skokorat St
Seymour, CT 06483-3826

Phone

(203) 881-2555

Fax

(203) 881-0853

NPI assigned

Jul 15, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Marc Ephram Ostreicher

Title

Managing Member

Phone

(516) 705-4806

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Skilled nursing facility certification: CCN 075386

Legal name

SHADY KNOLL ACQUISITION OPERATOR LLC

Doing business as

SHADY KNOLL CENTER FOR HEALTH AND REHABILIATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 9, 1993

Last certification

Oct 18, 2023

Beds

128

Ownership / control type

Corporation

Organization structure

LLCProprietary

Enrollment address

41 Skokorat St
Seymour, CT 06483-3826

Nursing home name

SHADY KNOLL CENTER FOR HEALTH & REHABILITATION

Affiliated entity

NATIONAL HEALTH CARE ASSOCIATES

Listed as

Shady Knoll Center for Health & RehabilitationCCN 075386

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 9, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

128119.5 residents per day on average

Chain

National Health Care Associates42 facilities in the chain

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

All disclosed owners & managing parties 44

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.

• Garumuni A. Desilva, M.D.

  • Internal Medicine Physician
  • Hamden, CT
  • NPI 1275539892

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Beacon Brook Acquisition Operator, LLC

  • Skilled Nursing Facility
  • Naugatuck, CT
  • NPI 1033967336

  Cedar Hill Capital Associates LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Trust

  CMS ownership
• Evergreen Acquisition Operator, LLC

  • Skilled Nursing Facility
  • Stafford Springs, CT
  • NPI 1700634094

  Cedar Hill Capital Associates LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Trust

  CMS ownership
• Glastonbury Acquisition Operator LLC

  • Skilled Nursing Facility
  • Glastonbury, CT
  • NPI 1972340016

  BG II Opco ML LLC, Cedar Hill Capital Associates LLC, Dymer Holdings LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Tru

  CMS ownership
• Hebrew Home for Health and Rehabilitation LLC

  • Skilled Nursing Facility
  • West Hartford, CT
  • NPI 1467907584

  Ysro Trust

  CMS ownership
• Laurel Ridge Acquisition Operator LLC

  • Skilled Nursing Facility
  • Ridgefield, CT
  • NPI 1417794553

  BG II Opco ML LLC, Cedar Hill Capital Associates LLC, Dymer Holdings LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Tru

  CMS ownership
• Maefair Acquisition Operator LLC

  • Skilled Nursing Facility
  • Trumbull, CT
  • NPI 1871330910

  BG II Opco ML LLC, Cedar Hill Capital Associates LLC, Dymer Holdings LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Tru

  CMS ownership
• Mansfield Acquisition Operator LLC

  • Skilled Nursing Facility
  • Storrs, CT
  • NPI 1043048044

  Cedar Hill Capital Associates LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Trust

  CMS ownership
• Montowese Acquisition Operator, LLC

  • Skilled Nursing Facility
  • North Haven, CT
  • NPI 1629826912

  Cedar Hill Capital Associates LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Trust

  CMS ownership
• Newtown Acquisition Operator, LLC

  • Skilled Nursing Facility
  • Sandy Hook, CT
  • NPI 1396593687

  Cedar Hill Capital Associates LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Trust

  CMS ownership
• Sharon Acquisition Operator, LLC

  • Skilled Nursing Facility
  • Sharon, CT
  • NPI 1386492668

  Cedar Hill Capital Associates LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Trust

  CMS ownership
• Summit at Plantsville Acquisition Operator LLC

  • Skilled Nursing Facility
  • Plantsville, CT
  • NPI 1598502635

  BG II Opco ML LLC, Cedar Hill Capital Associates LLC, Dymer Holdings LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Tru

  CMS ownership
• Constellation Hospice Oh, LLC

  • Community Based Hospice Care Agency
  • Cincinnati, OH
  • NPI 1477307940

  Cedar Hill Capital Associates LLC, Juniper Capital Associates LLC, Oak Management Capital LLC, Ysro Trust

  CMS ownership

Affiliated clinicians 4

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

• Garumuni A. Desilva, M.D.

  • Internal Medicine Physician
  • Hamden, CT
  • NPI 1275539892

  Nursing home

  Care Compare affiliation
• Hafsa Mushtaq Nawaz, M.D.

  • Internal Medicine Physician
  • Hamden, CT
  • NPI 1306804463

  Nursing home

  Care Compare affiliation
• Carlos Schweitzer, MD

  • Internal Medicine Physician
  • Derby, CT
  • NPI 1467548750

  Nursing home

  Care Compare affiliation
• Liviu Andrei Zaha

  • Hospitalist Physician
  • New Haven, CT
  • NPI 1366733750

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1225875362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E SUNRISE HWY FL 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811260",
            "telephone_number": "516-705-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SKOKORAT ST",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833826",
            "telephone_number": "203-881-2555",
            "fax_number": "203-881-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY KNOLL ACQUISITION OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "OSTREICHER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "EPHRAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-705-4806",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nagesh D Shrestha, D.D.S.
• Susan P Sidway, MS, LMFT
• Tanya Ronnette Simpson

• Skilled Nursing Facility in Seymour, CT
• Providers in Seymour, 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 Jul 15, 2024; 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.