Governors House Simsbury Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GOVERNORS HOUSE SIMSBURY OPCO LLC

Practice address

36 Firetown Rd
Simsbury, CT 06070-3401

Phone

(860) 658-1018

NPI assigned

Dec 18, 2019

Last updated

Dec 18, 2019By 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

Aaron Sodden

Title

Member

Phone

(516) 541-3277

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 1578101796. Details of each certification follow.

• CCN 075338 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075338

Legal name

GOVERNOR'S HOUSE SIMSBURY OPCO LLC

Doing business as

ARK HEALTHCARE & REHABILITATION AT GOVERNOR'S HOUSE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 25, 1990

Last certification

Mar 13, 2024

Beds

70

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Ark Healthcare and Rehabilitation, LLC

Organization structure

LLCProprietary

Incorporated

Oct 21, 2019 in DE

Enrollment address

36 Firetown Rd
Simsbury, CT 06070-3401

Nursing home name

ARK HEALTHCARE & REHABILITATION AT GOVERNORS HOUSE

Listed as

Ark Healthcare & Rehabilitation at Governors HouseCCN 075338 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 25, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7066.4 residents per day on average

Penalties (3 years)

1Fines totaling $16,039

Processed by Care Compare on Aug 1, 2026.

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 4

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

• Syed Uzair Hadi, M.D.

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1780884320

  Nursing home

  Care Compare affiliation
• Marlon Oriole Mitchell, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Bloomfield, CT
  • NPI 1619396868

  Nursing home

  Care Compare affiliation
• Jeffrey Sanford Robbins, MD

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1144227125

  Nursing home

  Care Compare affiliation
• Elizabeth A Tillman, M.D.

  • Internal Medicine Physician
  • West Haven, CT
  • NPI 1326014630

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1578101796",
    "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": "36 FIRETOWN RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060703401",
            "telephone_number": "860-658-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVERNORS HOUSE SIMSBURY OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "SODDEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-541-3277"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jean Gamble, PH.D.
• Gregory Ganci, LCSW
• Mary C Gibbons, PT
• Destiny Gillman, LMFT
• Valerie Goulet, LMFT
• April L Graves, COTA/L
• Patricia Gray
• Karen Rogers Griffin, LCSW
• Allison Amanda Grubbs, M.A., CCC-SLP
• Anna Gibb Hallemeier, MD

• Skilled Nursing Facility in Simsbury, CT
• Providers in Simsbury, 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 Dec 18, 2019; 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.