NPIMap

Organization Active NPI

Hancock Opco LLC

  • Skilled Nursing Facility
  • Danbury, CT
National Provider Identifier
1356024574
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HANCOCK OPCO LLC
Practice address
31 Staples St
Danbury, CT 06810-5323
Phone
(203) 794-9466
NPI assigned
Aug 14, 2023
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Isaac Shapiro
Title
Authorized Official
Phone
(203) 794-9466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

31 Staples St
Danbury, CT 06810-5323

Mailing address

31 Staples St
Danbury, CT 06810-5323
Phone (203) 794-9466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231025002998 CT Part A Provider - Skilled Nursing Facility 3870949951 Practice locations: Danbury, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356024574. Details of each certification follow.

Skilled nursing facility certification: CCN 075414

Legal name
HANCOCK OPCO LLC
Doing business as
HAVENCARE AT HANCOCK HALL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 3, 1997
Last certification
May 1, 2025
Beds
96
Ownership / control type
Corporation
Most recent change of ownership
Sep 12, 2023
Organization structure
LLCProprietary
Enrollment address
31 Staples St
Danbury, CT 06810-5323
Nursing home name
HAVENCARE AT HANCOCK HALL

Care Compare: Nursing home

Medicare Care Compare
Listed as
Havencare at Hancock HallCCN 075414 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 3, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9690.5 residents per day on average

Processed by Care Compare on Aug 1, 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
NMJ Irrv TR II Organization, Surfside, FL 5% Or Greater Indirect Ownership Interest Sep 12, 2023 22.68%
NMJ Holdings LLC Organization, Baltimore, MD LLC 5% Or Greater Indirect Ownership Interest Sep 12, 2023 27%
Jeffrey H Kagan Individual W-2 Managing EmployeeManager Sep 12, 2023
Nathan Jakobovits Individual W-2 Managing EmployeeManager Sep 12, 2023
Jek Holdings LLC Organization, Silver Spring, MD LLC 5% Or Greater Indirect Ownership Interest Sep 12, 2023 27%
Jek Irrv TR II Organization, Surfside, FL 5% Or Greater Indirect Ownership Interest Sep 12, 2023 25.68%
Danbury Opco LLC Organization, Lakewood, NJ LLC 5% Or Greater Direct Ownership Interest Sep 12, 2023 100%
Yitzchok Dovid Shapiro Individual 5% Or Greater Indirect Ownership InterestOwner Sep 12, 2023 15%
W-2 Managing EmployeeManager Sep 12, 2023

Facilities with the same owner 16

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

View all 16

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1356024574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 STAPLES ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105323",
            "telephone_number": "203-794-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 STAPLES ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105323",
            "telephone_number": "203-794-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-794-9466"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.