Waterbury Extended Care Facility, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1082-C Issued in CT

Legal business name

WATERBURY EXTENDED CARE FACILITY, INC.

Practice address

35 Bunker Hill Rd
Watertown, CT 06795-3304

Phone

(860) 274-5428

Fax

(860) 945-7034

NPI assigned

Nov 7, 2006

Last updated

Feb 22, 2017By 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. Ryan Vess

Title

Cfo

Phone

(860) 678-9755

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558430256. Details of each certification follow.

• CCN 075181 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075181

Legal name

WATERBURY EXTENDED CARE FACILITY, INC.

Doing business as

APPLE REHAB WATERTOWN

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 17, 1967

Last certification

Jun 18, 2024

Beds

110

Ownership / control type

Corporation

Multi-facility organization

Apple Healthcare Inc

Organization structure

CorporationProprietary

Incorporated

Oct 1, 1985 in CT

Enrollment address

35 Bunker Hill Rd
Watertown, CT 06795-3304

Nursing home name

APPLE REHAB WATERTOWN

Affiliated entity

APPLE REHAB

Listed as

Apple Rehab WatertownCCN 075181 · 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 - Corporation

Certified

Apr 17, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

110101.9 residents per day on average

Chain

Apple Rehab20 facilities in the chain

Penalties (3 years)

1Fines totaling $25,058

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

Tax ID family

Apple Rehab Watertown2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Waterbury Extended Care Facility

  • Nursing Facility/Intermediate Care Facility
  • Watertown, CT
  • NPI 1770653339
  NPD tax ID

All disclosed owners & managing parties 3

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.

• Kanagaratnam Jegathesan, MD

  • Internal Medicine Physician
  • Waterbury, CT
  • NPI 1497859409

  Nursing home

  Care Compare affiliation
• Neil Miller, MD

  • Internal Medicine Physician
  • Thomaston, CT
  • NPI 1154370401

  Nursing home

  Care Compare affiliation
• Hector Rodolfo Pun, MD

  • Gastroenterology Physician
  • Waterbury, CT
  • NPI 1447304944

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1558430256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BUNKER HILL RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953304",
            "telephone_number": "860-274-5428",
            "fax_number": "860-945-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BUNKER HILL RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953304",
            "telephone_number": "860-274-5428",
            "fax_number": "860-945-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERBURY EXTENDED CARE FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "VESS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-678-9755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "1082-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010827",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Colleen Warner, MAATC, LPC-A
• Waterbury Extended Care Facility
• Watertown Board of Education
• Watertown Wellness Center LLC
• Waterview Counseling Services LLC
• Jody-Ann Weise, LMSW
• Sheila Whitman, LPC

• Skilled Nursing Facility in Watertown, CT
• Providers in Watertown, 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 Feb 22, 2017; 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.