Marlborough Health Care Center.,Inc
Organization Active NPI Skilled Nursing Facility · Marlborough, CT
NPI 1316005242 · NPPES record last updated Aug 19, 2014
Key facts
- NPI
- 1316005242
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2105C (CT)
- Legal business name
- MARLBOROUGH HEALTH CARE CENTER.,INC
- Practice address
- 85 Stage Harbor Road
Marlborough, CT 06447 - Phone
- (860) 295-9531
- Fax
- (860) 295-9923
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Marianne Herold
- Title
- Administrator
- Phone
- (860) 295-9531
Affiliated clinicians 2
-
Helen S. Han, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Marlborough Health & Rehabilitation Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 14, 1993
- Medicare certification status
- Active
- Certified beds
- 120 · 109.1 residents per day on average
- Chain
- National Health Care Associates
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2 · fines totaling $206,228
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0096803 | Marlborough Health Care | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Skilled nursing facility certification: CCN 075384
- Legal name
- MARLBOROUGH HEALTH CARE CENTER,INC
- Doing business as
- MARLBOROUGH HEALTH & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 14, 1993
- Last certification
- Aug 14, 2023
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- NATIONAL HEALTHCARE ASSOCIATE
- Organization structure
- Corporation · Proprietary
- Incorporated
- Feb 24, 1984 in CT
- Enrollment address
- 85 Stage Harbor Rd
Marlborough, CT 06447-1113 - Nursing home name
- MARLBOROUGH HEALTH & REHABILITATION CENTER
- Affiliated entity
- NATIONAL HEALTH CARE ASSOCIATES
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Marvin J. Ostreicher |
5% Or Greater Direct Ownership Interest | Feb 24, 1984 | 50% |
| Corporate Officer |
Feb 24, 1984 | 50% | |
| W-2 Managing Employee | Sep 7, 2004 | ||
| Operational/Managerial Control |
Dec 7, 2009 | 100% | |
| Agnes Zitter |
5% Or Greater Direct Ownership Interest |
Feb 24, 1984 | 50% |
| Corporate Officer |
Feb 24, 1984 | 50% | |
| Thomas Joseph Gilmartin |
Other | Jul 1, 2016 | |
| Robert S Guastella |
W-2 Managing Employee |
Dec 12, 2018 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040907000412 | CT | Part a Provider - Skilled Nursing Facility | 0547236010 | Practice locations: Marlborough, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2105C | CT | Yes |
Addresses
Primary practice location
85 Stage Harbor Road
Marlborough, CT 06447
Mailing address
85 Stage Harbor Road
Marlborough, CT 06447
Phone (860) 295-9531
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000021056 | Medicaid | CT |
Other providers in Marlborough, CT
- Patricia M Lewandoski
- Life As It Happens Counseling, LLC
- Christine Marie Manthorne
- Joseph Patrick Marinacci
- Marlborough Board of Education
- Rachel Martin-Bowker
- Erin McGuinness
- MHS Primary Care, Inc.
- Michael D. Reife DC LLC
- Rebecca Muldoon
All providers in Marlborough, CT · Skilled Nursing Facility in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.