Norwich Operating Co LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0824301N Issued in NY

Legal business name

NORWICH OPERATING CO LLC

Doing business as

Norwich Rehabilitation and Nursing Center

Practice address

88 Calvary Dr
Norwich, NY 13815-1031

Phone

(607) 336-3915

Fax

(914) 597-7622

NPI assigned

Nov 16, 2010

Last updated

Dec 24, 2024By 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

Abe Mostofsky

Title

Finance

Phone

(347) 832-6899

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORWICH REHABILITATION AND NURSING CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477854867. Details of each certification follow.

• CCN 335759 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335759

Legal name

NORWICH OPERATING CO LLC

Doing business as

NORWICH REHABILITATION AND NURSING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 16, 1992

Last certification

Jan 9, 2024

Beds

80

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Personal Health Care

Organization structure

LLCProprietary

Incorporated

Jun 24, 2009 in NY

Enrollment address

88 Calvary Dr
Norwich, NY 13815-1031

Nursing home name

NORWICH REHABILITATION & NURSING CENTER

Affiliated entity

PERSONAL HEALTHCARE MANAGEMENT

Listed as

Norwich Rehabilitation & Nursing CenterCCN 335759 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 16, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8079.1 residents per day on average

Chain

Personal Healthcare Management21 facilities in the chain

Penalties (3 years)

7Fines totaling $63,215

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jeffrey D Amidon, D.O.

  • Internal Medicine Physician
  • Rome, NY
  • NPI 1457492688

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Yechiel Zagelbaum, DO

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1558452730

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey D Amidon, D.O.

  • Internal Medicine Physician
  • Rome, NY
  • NPI 1457492688
  NPD (past)
• James R Simcoe, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Norwich, NY
  • NPI 1346321254
  NPD (past)

Affiliated clinicians 1

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

• James R Simcoe, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Norwich, NY
  • NPI 1346321254

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1477854867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CALVARY DR",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151031",
            "telephone_number": "607-336-3915",
            "fax_number": "914-597-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CALVARY DR",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151031",
            "telephone_number": "607-336-3915",
            "fax_number": "914-597-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWICH OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "MOSTOFSKY",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "347-832-6899"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0824301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01351468",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORWICH REHABILITATION AND NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin J. Nial, CPP, CASAC
• Tara Michelle Niedzialkowski, PA
• Michael Nolan, PHARMD, RPH
• Emily Louise Norton, R.N.
• Norwich City School District
• Mary Margaret Nowak
• Sarah Nucero, LCSW
• Vincent Nucero, LCSW
• Matthew Darian Nunez, PHARMD
• Kylee Anna O'Hara, PT, DPT

• Skilled Nursing Facility in Norwich, NY
• Providers in Norwich, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.