VK Marlborough, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VK MARLBOROUGH, LLC

Practice address

400 Bolton St
Marlborough, MA 01752-3912

Phone

(508) 481-6123

NPI assigned

Feb 21, 2013

Last updated

Mar 28, 2013By 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

Mr. Barry Bokow

Title

Vice President

Phone

(516) 705-4802

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285974675. Details of each certification follow.

• CCN 225326 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 225326

Legal name

VK MARLBOROUGH, LLC

Doing business as

THE RESERVOIR CENTER FOR HEALTH & REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1990

Last certification

Oct 2, 2024

Beds

144

Ownership / control type

Limited Liability Corporation

Multi-facility organization

National Health Care Associates

Organization structure

LLCProprietary

Incorporated

Jan 15, 2013 in DE

Enrollment address

400 Bolton St
Marlborough, MA 01752-3912

Nursing home name

RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE

Affiliated entity

NATIONAL HEALTH CARE ASSOCIATES

Listed as

Reservoir Center for Health & Rehabilitation, theCCN 225326 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 1, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

144133.1 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

Locations

All disclosed owners & managing parties 29

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.

• Eghosa Rosemary Idumwonyi, MD

  • Hospitalist Physician
  • Norwood, MA
  • NPI 1265894919

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

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

• VK Kennebunk, LLC

  dba Kennebunk Center for Health & Rehabilitation LLC

  • Skilled Nursing Facility
  • Kennebunk, ME
  • NPI 1780924191

  VK Health Facilities LLC

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ajay J Anand, M.D

  • Internal Medicine Physician
  • Weston, MA
  • NPI 1538237813
  NPD (past)
• Anthony Clive Bartley, M.D.

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1922362003
  NPD (past)
• Eghosa Rosemary Idumwonyi, MD

  • Hospitalist Physician
  • Norwood, MA
  • NPI 1265894919
  NPD (past)

Affiliated clinicians 2

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

• Dolly Geevarghese, MD

  • Internal Medicine Physician
  • Marlborough, MA
  • NPI 1538120589

  Nursing home

  Care Compare affiliation
• Eghosa Rosemary Idumwonyi, MD

  • Hospitalist Physician
  • Norwood, MA
  • NPI 1265894919

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1285974675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 STAUDERMAN AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BOLTON ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523912",
            "telephone_number": "508-481-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VK MARLBOROUGH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "BOKOW",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "516-705-4802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor M Virgilio
• Rachel Vishniac, LMHC, ATR
• Vision Associates (Barsamian Ara & Debra Sleight PTR)
• Vistacare of Boston LLC (Kindred Hospice)
• Melissa Viveiros
• Landon-Merrick Vogel
• Mona Vogel, RPH
• Sydney Vogel
• Jennifer Vogels, LAC
• Jasmin Vohalis

• Skilled Nursing Facility in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.