Active NPI
Town of Greenwich
Doing business as The Nathaniel Witherell
- Skilled Nursing Facility
- Greenwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 564-C
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000005645 | Medicaid | CT |
Other names 1
- The Nathaniel Witherell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Other
- 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, the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - City
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 202
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0708702 | Nathaniel Witherell,the | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Greenwich Dept of Healt
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Greenwich Public Schools
- Local Education Agency (LEA)
- Greenwich, CT
- NPI 1376057125
-
- Public Health or Welfare Agency
- Greenwich, CT
- NPI 1750444675
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Margaret MC Sherry-Martino | Corporate Director | Jun 1, 2025 | |
| Pamela Packard | Corporate Director | Jun 1, 2025 | |
| Jack V Diteodoro | Corporate Director | Dec 18, 2023 | |
| Operational/Managerial Control | Dec 18, 2023 | ||
| Adp of the SNF | Mar 20, 2026 | ||
| Stephanie Paulmeno | Corporate Director | Jun 1, 2025 | |
| John Mastronardi | Corporate Director | Apr 27, 2020 | 100% |
| Operational/Managerial Control | Apr 27, 2020 | ||
| Adp of the SNF | Apr 27, 2020 | ||
| Richard Kaplan | Corporate Director | Jul 1, 2016 | |
| Peter Kelly | Corporate Director | Jun 1, 2025 | |
| Justine Vaccaro | Corporate Director | Jan 1, 2025 | 100% |
| Adp of the SNF | Jan 1, 2025 | ||
| John Anantharaj | Corporate Director | Feb 23, 2026 | 100% |
| Sasha E Vasquez | Corporate Officer | May 27, 2020 | 100% |
| Operational/Managerial Control | Dec 27, 2022 | ||
| Adp of the SNF | May 27, 2020 | ||
| Town of Greenwich | 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 | Corporate Director | Jun 1, 2025 | |
| Nirmal Patel | Corporate Director | Oct 23, 2018 | |
| Brad Irwin Markowitz | Corporate Director | Jun 1, 2025 | |
| Kate Tabner | Corporate Director | 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.
-
- Family Medicine Physician
- Stamford, CT
- NPI 1346338837
Adp of the SNF, Corporate Director, Operational/Managerial Control
-
- Occupational Medicine Physician
- Hamden, CT
- NPI 1457547903
Corporate Director
-
- Public Health or Welfare Agency
- Greenwich, CT
- NPI 1750444675
5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.