Organization Active NPI

West Lake Properties LLC

Doing business as The Guilford House

  • Skilled Nursing Facility
  • Guilford, CT
National Provider Identifier
1477674182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEST LAKE PROPERTIES LLC
Doing business as
The Guilford House
Practice address
109 W Lake Ave
Guilford, CT 06437-1352
Phone
(203) 488-9142
NPI assigned
Apr 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cathleen O'Connor
Title
Administrator
Phone
(203) 488-9142

Specialties & licenses 1

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

Addresses

Primary practice location

109 W Lake Ave
Guilford, CT 06437-1352

Mailing address

109 W Lake Ave
Guilford, CT 06437-1352

Other names 1

  • The Guilford House Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080128000038 CT Part A Provider - Skilled Nursing Facility 4880776079 Practice locations: Guilford, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477674182. Details of each certification follow.

Skilled nursing facility certification: CCN 075235

Legal name
WEST LAKE PROPERTIES LLC
Doing business as
THE GUILFORD HOUSE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 18, 1974
Last certification
Oct 23, 2023
Beds
75
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Feb 14, 2002 in CT
Enrollment address
109W Lake Ave
Guilford, CT 06437-1352
Nursing home name
GUILFORD HOUSE, THE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Guilford House, theCCN 075235 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 18, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7572.3 residents per day on average
Penalties (3 years)
1Fines totaling $8,824

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
07D0891826Guilford House,the109 West Lake Ave, Guilford, CT 06437Certificate of waiverSep 18, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Tim Dolce Individual W-2 Managing EmployeeController Dec 19, 2014
Calvin a Moffie Individual 5% Or Greater Direct Ownership InterestOwner Oct 1, 2002 100%
Corporate Director Oct 1, 2002 100%
W-2 Managing EmployeeOwner/Administrator Jan 7, 2015 100%

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477674182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W LAKE AVE",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W LAKE AVE",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371352",
            "telephone_number": "203-488-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LAKE PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-488-9142"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Guilford House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.