Organization Active NPI

WV-Crossings East LLC

Doing business as Crossings East Health and Rehabilitation Center

  • Skilled Nursing Facility
  • New London, CT
National Provider Identifier
1619421872
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2394 Issued in CT
Legal business name
WV-CROSSINGS EAST LLC
Doing business as
Crossings East Health and Rehabilitation Center
Practice address
78 Viets St
New London, CT 06320-3354
Phone
(860) 447-1416
NPI assigned
Aug 5, 2016
Organization subpart
Yes
Parent organization
WACHUSETT VENTURES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Raymond A. Dennehy III
Title
Principal
Phone
(978) 464-7729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2394 CT Primary

Addresses

Primary practice location

78 Viets St
New London, CT 06320-3354

Mailing address

78 Viets St
New London, CT 06320-3354
Phone (860) 447-1416

Other names 1

  • Crossings East Health and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170104000072 CT Part A Provider - Skilled Nursing Facility 7719268895 Practice locations: New London, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619421872. Details of each certification follow.

Skilled nursing facility certification: CCN 075196

Legal name
WV-CROSSINGS EAST LLC
Doing business as
HARBOR VILLAGE NORTH HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1971
Last certification
Jul 9, 2024
Beds
128
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Wachusett Ventures, LLC
Organization structure
LLCProprietary
Enrollment address
78 Viets St
New London, CT 06320-3354
Nursing home name
HARBOR VILLAGE NORTH HEALTH AND REHABILITATION CEN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harbor Village North Health and Rehabilitation CenCCN 075196 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
128118.6 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $68,933

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0689964Harbor Village Rehabilitation & Nursing Center78 Viets St, New London, CT 06320Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
CH Crossings East LLC2 organizations share this tax ID, including this one
Part of
Wachusett Ventures LLC

Other organizations with this tax ID 1

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

Locations

78 Viets St
New London, CT 06320
Phone (860) 447-1416

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Organization, Tustin, CA Corporation, For-profit, Real estate investment trust (REIT) Adp of the SNF Mar 1, 2016
Daniel Spencer Individual Operational/Managerial Control May 23, 2024
Melissa Cabot Individual Operational/Managerial Control Sep 23, 2024
Individual Indirect Ownership Interest Feb 28, 2017 3%
Joan Antico Individual Operational/Managerial Control May 12, 2024
Adp of the SNF May 12, 2024
Sharon Ellis Individual Operational/Managerial Control Feb 7, 2019
Adp of the SNF Feb 7, 2019
Kimberly Gray Individual Operational/Managerial Control Dec 23, 2019
Adp of the SNF Dec 23, 2019
Wachusett Ventures LLC Organization, Princeton, MA LLC, Holding company, For-profit Operational/Managerial Control Mar 1, 2016
Adp of the SNF Nov 24, 2025
Direct Ownership Interest Feb 29, 2016 100%
Caitlyn Marsh Individual Operational/Managerial Control Mar 10, 2025
Adp of the SNF Mar 10, 2025
Wakefield Capital LLC Organization, Mansfield, MA LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Jun 7, 2016 60%
Joseph Lopatosky Individual Operational/Managerial Control Feb 28, 2017
Adp of the SNF Feb 28, 2017
Organization, Plano, TX Corporation, For-profit Adp of the SNF Apr 14, 2025
Individual Indirect Ownership Interest Feb 29, 2016 3%
Joel E Kirchick Individual Indirect Ownership Interest Feb 28, 2017 54%
Organization, Tustin, CA For-profit Adp of the SNF Mar 1, 2016
Raymond a Dennehy Individual Operational/Managerial Control Mar 1, 2016
Indirect Ownership Interest Feb 29, 2016 20%
Bulent Ozcakar Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Aug 19, 2025
Organization, Hartford, CT For-profit Adp of the SNF Apr 9, 2025
Brooke Johnson Individual Operational/Managerial Control Aug 28, 2023
Adp of the SNF Aug 19, 2025
Organization, New York, NY For-profit Adp of the SNF Aug 19, 2025
Organization, Quincy, MA For-profit Adp of the SNF Apr 9, 2025
Marsha Murphy Individual Operational/Managerial Control Jan 27, 2025
Collin Baude Individual Operational/Managerial Control Jan 6, 2025
Steven L Vera Individual Operational/Managerial Control Mar 1, 2016
Adp of the SNF Mar 1, 2016
Indirect Ownership Interest Feb 29, 2016 20%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1619421872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 VIETS ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203354",
            "telephone_number": "860-447-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 VIETS ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203354",
            "telephone_number": "860-447-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WV-CROSSINGS EAST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WACHUSETT VENTURES, LLC",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "DENNEHY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "978-464-7729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossings East Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.