Abh Opco LLC
Organization Active NPI Skilled Nursing Facility · Branford, CT
NPI 1487396164 · NPPES record last updated May 24, 2022
Key facts
- NPI
- 1487396164
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ABH OPCO LLC
- Practice address
- 189 Alps Rd
Branford, CT 06405-4771 - Phone
- (561) 451-3277
- NPI assigned
- Apr 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Mr. Aaron Sodden
- Title
- Owner
- Phone
- (516) 451-3277
Affiliated clinicians 5
-
Joseph Balsamo, M.D.
-
Asefeh Heiat, M.D., M.P.H.
-
Paula Andrea Ortiz, M.D.
-
Anu Walaliyadda, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Ark Healthcare & Rehabilitation at Branford Hills
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 24, 1980
- Medicare certification status
- Active
- Certified beds
- 190 · 181.0 residents per day on average
- Penalties (3 years)
- 1 · fines totaling $8,021
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Skilled nursing facility certification: CCN 075296
- Legal name
- ABH OPCO LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 24, 1980
- Last certification
- Dec 6, 2022
- Beds
- 190
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Ark Healthcare and Rehabilitation, LLC
- Organization structure
- LLC · Proprietary
- Incorporated
- Dec 6, 2021 in DE
- Enrollment address
- 189 Alps Rd
Branford, CT 06405-4771 - Nursing home name
- ARK HEALTHCARE & REHABILITATION AT BRANFORD HILLS
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Allan Wiesel |
5% Or Greater Direct Ownership Interest |
Jun 30, 2022 | 16.67% |
| Corporate Officer |
Jun 30, 2022 | 16.67% | |
| Allen Stein |
5% Or Greater Direct Ownership Interest |
Jun 30, 2022 | 49.99% |
| Corporate Officer |
Jun 30, 2022 | 49.99% | |
| Aaron Sodden |
5% Or Greater Direct Ownership Interest |
Jun 30, 2022 | 16.67% |
| Corporate Officer |
Jun 30, 2022 | 16.67% | |
| W-2 Managing Employee |
Jun 30, 2022 | 16.67% | |
| Akiva Fried |
5% Or Greater Direct Ownership Interest |
Jun 30, 2022 | 16.67% |
| Corporate Officer |
Jun 30, 2022 | 16.67% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220708000953 | CT | Part a Provider - Skilled Nursing Facility | 8022498039 | Practice locations: Branford, CT |
National Provider Directory
Locations
189 Alps Rd
Branford, CT 06405
Phone (203) 315-2615
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
189 Alps Rd
Branford, CT 06405-4771
Mailing address
494 Elm St
Stamford, CT 06902-5115
Phone (561) 451-3277
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@arkhcm.com | Other |
Other providers in Branford, CT
All providers in Branford, CT · Skilled Nursing Facility in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.