St Camillus Stamford Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ST CAMILLUS STAMFORD OPCO LLC

Practice address

494 Elm St
Stamford, CT 06902-5115

Phone

(203) 325-0200

NPI assigned

Dec 19, 2019

Last updated

May 6, 2020By 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

Mr. Aaron Sodden

Title

Owner

Phone

(516) 451-3277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487292546. Details of each certification follow.

• CCN 075320 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075320

Legal name

ST CAMILLUS STAMFORD OPCO LLC

Doing business as

ARK HEALTHCARE & REHABILITATION AT ST.CAMILLUS CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 5, 1988

Last certification

Jul 11, 2024

Beds

124

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Ark Healthcare & Rehabilitation

Organization structure

LLCProprietary

Incorporated

Oct 21, 2019 in DE

Enrollment address

494 Elm St
Stamford, CT 06902-5115

Nursing home name

ARK HEALTHCARE & REHABILITATION AT ST. CAMILLUS

Listed as

Ark Healthcare & Rehabilitation at St. CamillusCCN 075320 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 5, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

124117.2 residents per day on average

Penalties (3 years)

1Fines totaling $8,018

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

Locations

All disclosed owners & managing parties 4

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

Affiliated clinicians 3

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

• Jack V Diteodoro, M.D.

  • Family Medicine Physician
  • Stamford, CT
  • NPI 1346338837

  Nursing home

  Care Compare affiliation
• Paula Andrea Ortiz, M.D.

  • Internal Medicine Physician
  • West Haven, CT
  • NPI 1619358124

  Nursing home

  Care Compare affiliation
• Vin Sivan Pillai, M.D.

  • Internal Medicine Physician
  • West Haven, CT
  • NPI 1609239623

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1487292546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PITKIN ST STE 200",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083223",
            "telephone_number": "860-610-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 ELM ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069025115",
            "telephone_number": "203-325-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CAMILLUS STAMFORD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "SODDEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-451-3277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Karen St Cyr, RN
• Rose St. Gilus, MD
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• Stamford Acquisition I, LLC (Cassena Care at Stamford)

• Skilled Nursing Facility in Stamford, CT
• Providers in Stamford, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.