Organization Active NPI

Bucks Hill Operations LLC

  • Skilled Nursing Facility
  • Waterbury, CT
National Provider Identifier
1235533209
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2342 Issued in CT
Legal business name
BUCKS HILL OPERATIONS LLC
Practice address
2817 N Main St
Waterbury, CT 06704-1604
Phone
(203) 757-0731
NPI assigned
Oct 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Mr. Aryeh Stern
Title
Member
Phone
(732) 358-6883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2342 CT Primary

Addresses

Primary practice location

2817 N Main St
Waterbury, CT 06704-1604

Mailing address

4260 Route 9
Howell, NJ 07731-3351
Phone (732) 358-6883

Other names 1

  • Autumn Lake Healthcare At Bucks Hill Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141212001764 CT Part A Provider - Skilled Nursing Facility 1951623362 Practice locations: Waterbury, CT

Skilled nursing facility certification: CCN 075418

Legal name
BUCKS HILL OPERATIONS LLC
Doing business as
AUTUMN LAKE HEALTHCARE AT BUCKS HILL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 4, 1999
Last certification
Dec 6, 2024
Beds
90
Ownership / control type
Individual
Most recent change of ownership
Jan 1, 2015
Organization structure
LLCProprietary
Enrollment address
2817 N Main St
Waterbury, CT 06704-1604
Nursing home name
AUTUMN LAKE HEALTHCARE AT BUCKS HILL
Affiliated entity
AUTUMN LAKE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Autumn Lake Healthcare at Bucks HillCCN 075418
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Feb 4, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9085.3 residents per day on average
Chain
Autumn Lake Healthcare59 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0099754Autumn Lake Health Care at Bucks Hill2817 North Main St, Waterbury, CT 06704Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Organization, Brooklyn, NY LLC Adp of the SNF Jun 17, 2025
Marc N Raad Individual Operational/Managerial Control Jan 1, 2015
Adp of the SNF Jan 1, 2015
Organization, Brooklyn, NY Adp of the SNF Jun 17, 2025
Bucks Hill Parent LLC Organization, Howell, NJ Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2015 100%
Adp of the SNF Jan 1, 2015
Krista Wagner Individual Operational/Managerial Control Nov 27, 2015
Adp of the SNF Nov 27, 2015
Aryeh Stern Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2015 98%
Adp of the SNF Jan 1, 2015
Mark Schwartz Individual Corporate OfficerCorporate Officer Mar 1, 2025
Operational/Managerial Control Jan 1, 2015
Bucks Hill Realty LLC Organization, Howell, NJ Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Jan 1, 2015
Adp of the SNF Jan 1, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1235533209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 ROUTE 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313351",
            "telephone_number": "732-358-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 N MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041604",
            "telephone_number": "203-757-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKS HILL OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "ARYEH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-358-6883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Lake Healthcare At Bucks Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.