New Milford Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

000009266 Issued in CT

Legal business name

NEW MILFORD REHABILITATION LLC

Doing business as

Candlewood Valley Health and Rehabilitation Center

Practice address

30 Park LN E
New Milford, CT 06776-2510

Phone

(860) 355-0471

Fax

(860) 350-9214

NPI assigned

Feb 1, 2016

Last updated

Feb 1, 2016By 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

Mordechai Blass, LNHA

Title

Managing Member

Phone

(860) 355-0971

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Candlewood Valley Health and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336507722. Details of each certification follow.

• CCN 075416 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075416

Legal name

NEW MILFORD REHABILITATION LLC

Doing business as

CANDLEWOOD VALLEY HEALTH & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 16, 1998

Last certification

Jun 7, 2024

Beds

148

Ownership / control type

Limited Liability Corporation

Multi-facility organization

ATLAS

Organization structure

LLCProprietary

Incorporated

Jan 1, 2016 in DE

Enrollment address

30 Park LN E
New Milford, CT 06776-2510

Nursing home name

CANDLEWOOD REHABILITATION AND HEALTHCARE CENTER

Listed as

Candlewood Rehabilitation and Healthcare CenterCCN 075416 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 16, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

148135.2 residents per day on average

Penalties (3 years)

1Fines totaling $25,490

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 9

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

Facilities with the same owner 2

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

• Greenwich Woods Rehabilitation LLC

  dba Greenwich Woods Rehabilitation and Health Care Center

  • Skilled Nursing Facility
  • Greenwich, CT
  • NPI 1366840621

  Greenwich Woods Holdings LLC, Ik Greenwich LLC, SJJJ LLC

  CMS ownership
• Hamden Rehabilitation LLC

  dba Hamden Rehabilitation and Health Care Center

  • Skilled Nursing Facility
  • Hamden, CT
  • NPI 1093173486

  Greenwich Woods Holdings LLC, Ik Greenwich LLC, SJJJ LLC, Wcthc LLC, Ywm CT LLC

  CMS ownership

Affiliated clinicians 5

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

• Peter Lloyd Anderson, MD

  • Family Medicine Physician
  • New Milford, CT
  • NPI 1396715231

  Nursing home

  Care Compare affiliation
• Jonathan D Beck, M.D.

  • Family Medicine Physician
  • New Milford, CT
  • NPI 1578631982

  Nursing home

  Care Compare affiliation
• Doreen Konik, M.D.

  • Internal Medicine Physician
  • New Milford, CT
  • NPI 1205808417

  Nursing home

  Care Compare affiliation
• Christian Leonardi, D.O.

  • Internal Medicine Physician
  • New Milford, CT
  • NPI 1134112824

  Nursing home

  Care Compare affiliation
• Kenneth F Marici, MD

  • Internal Medicine Physician
  • New Milford, CT
  • NPI 1568414993

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1336507722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PARK LN E",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762510",
            "telephone_number": "860-355-0471",
            "fax_number": "860-350-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PARK LN E",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762510",
            "telephone_number": "860-355-0471",
            "fax_number": "860-350-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MILFORD REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "BLASS",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "860-355-0971",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "000009266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009266",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candlewood Valley Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Milford Crossings LLC (Village Crest Center for Health and rehabilitation)
• New Milford Gastroenterology Associates, P.C.
• New Milford Medical Group, LLC
• New Milford Podiatry LLC
• New Milford Public School
• New Milford Visiting Nurse Association, Inc.
• New Milford Visiting Nurse Association, Inc.
• Kristin Coppola Newton, MD
• Lance Michael Nicholls, PHARMD
• Samantha Nimri, PHARMD

• Skilled Nursing Facility in New Milford, CT
• Providers in New Milford, 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 Feb 1, 2016; 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.