Organization Active NPI

Town of Greenwich

Doing business as The Nathaniel Witherell

  • Skilled Nursing Facility
  • Greenwich, CT
National Provider Identifier
1396741872
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
564-C Issued in CT
Legal business name
TOWN OF GREENWICH
Doing business as
The Nathaniel Witherell
Practice address
70 Parsonage Road
Greenwich, CT 06830-3941
Phone
(203) 618-4200
Fax
(203) 629-6949
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Mr. Allen M. Brown
Title
Executive Director
Phone
(203) 618-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 564-C CT Primary

Addresses

Primary practice location

70 Parsonage Road
Greenwich, CT 06830-3941

Mailing address

70 Parsonage Road
Greenwich, CT 06830-3941
Phone (203) 618-4200

Other identifiers 1

IdentifierTypeStateIssuer
000005645MedicaidCT

Other names 1

  • The Nathaniel Witherell Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070221000022 CT Part A Provider - Skilled Nursing Facility 7416059555 Practice locations: Greenwich, CT

Skilled nursing facility certification: CCN 075117

Legal name
TOWN OF GREENWICH
Doing business as
THE NATHANIEL WITHERELL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Aug 6, 2024
Beds
202
Ownership / control type
City
Organization structure
OtherNon-profit
Enrollment address
70 Parsonage Rd
Greenwich, CT 06830-3941
Nursing home name
NATHANIEL WITHERELL, THE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Nathaniel Witherell, theCCN 075117 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - City
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
202158.3 residents per day on average
Penalties (3 years)
1Fines totaling $4,516

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
07D0708702Nathaniel Witherell,the70 Parsonage Rd, Greenwich, CT 06830Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Greenwich Dept of Healt3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

70 Parsonage Rd
Greenwich, CT 06830
Phone (203) 618-4200

29 Hospital Plz
Fl 5
Stamford, CT 06902

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Margaret MC Sherry-Martino Individual Corporate DirectorMember, Board of Directors Jun 1, 2025
Pamela Packard Individual Corporate DirectorMember, Board of Directors Jun 1, 2025
Jack V Diteodoro Individual Corporate DirectorMedical Director Dec 18, 2023
Operational/Managerial Control Dec 18, 2023
Adp of the SNF Mar 20, 2026
Stephanie Paulmeno Individual Corporate DirectorMember, Board of Directors Jun 1, 2025
John Mastronardi Individual Corporate DirectorAdministrator Apr 27, 2020 100%
Operational/Managerial Control Apr 27, 2020
Adp of the SNF Apr 27, 2020
Richard Kaplan Individual Corporate DirectorMember, Board of Directors Jul 1, 2016
Peter Kelly Individual Corporate DirectorMember, Board of Directors Jun 1, 2025
Justine Vaccaro Individual Corporate DirectorCompliance Officer Jan 1, 2025 100%
Adp of the SNF Jan 1, 2025
John Anantharaj Individual Corporate DirectorDeputy and Director of Nursing Feb 23, 2026 100%
Sasha E Vasquez Individual Corporate OfficerBilling and Accounts Receivable May 27, 2020 100%
Operational/Managerial Control Dec 27, 2022
Adp of the SNF May 27, 2020
Town of Greenwich Organization, Greenwich, CT 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Adp of the SNF Nov 3, 2025
Direct Ownership Interest Jan 1, 1966 100%
Bradford M Radulovacki Individual Corporate DirectorMember, Board of Directors Jun 1, 2025
Nirmal Patel Individual Corporate DirectorMember, Board of Directors Oct 23, 2018
Brad Irwin Markowitz Individual Corporate DirectorMember, Board of Directors Jun 1, 2025
Kate Tabner Individual Corporate DirectorMember, Board of Directors Jun 1, 2025

Owners & managing parties with NPI records 3

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": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1396741872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PARSONAGE ROAD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068303941",
            "telephone_number": "203-618-4200",
            "fax_number": "203-629-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PARSONAGE ROAD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068303941",
            "telephone_number": "203-618-4200",
            "fax_number": "203-629-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GREENWICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-618-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "564-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000005645",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Nathaniel Witherell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.