Active NPI
WV-Crossings East LLC
Doing business as Crossings East Health and Rehabilitation Center
- Skilled Nursing Facility
- New London, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2394
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Cen
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 1, 1971
- Medicare certification status
- Active
- Certified beds
- 128
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0689964 | Harbor Village Rehabilitation & Nursing Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- CH Crossings East LLC
- 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.
-
dba Crossings East Health and Rehabilitation Center
- Skilled Nursing Facility
- New London, CT
- NPI 1346668001
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Mar 1, 2016 | ||
| Daniel Spencer | Operational/Managerial Control | May 23, 2024 | |
| Melissa Cabot | Operational/Managerial Control | Sep 23, 2024 | |
| Indirect Ownership Interest | Feb 28, 2017 | 3% | |
| Joan Antico | Operational/Managerial Control | May 12, 2024 | |
| Adp of the SNF | May 12, 2024 | ||
| Sharon Ellis | Operational/Managerial Control | Feb 7, 2019 | |
| Adp of the SNF | Feb 7, 2019 | ||
| Kimberly Gray | Operational/Managerial Control | Dec 23, 2019 | |
| Adp of the SNF | Dec 23, 2019 | ||
| Wachusett Ventures LLC | Operational/Managerial Control | Mar 1, 2016 | |
| Adp of the SNF | Nov 24, 2025 | ||
| Direct Ownership Interest | Feb 29, 2016 | 100% | |
| Caitlyn Marsh | Operational/Managerial Control | Mar 10, 2025 | |
| Adp of the SNF | Mar 10, 2025 | ||
| Wakefield Capital LLC | Indirect Ownership Interest | Jun 7, 2016 | 60% |
| Joseph Lopatosky | Operational/Managerial Control | Feb 28, 2017 | |
| Adp of the SNF | Feb 28, 2017 | ||
| Adp of the SNF | Apr 14, 2025 | ||
| Indirect Ownership Interest | Feb 29, 2016 | 3% | |
| Joel E Kirchick | Indirect Ownership Interest | Feb 28, 2017 | 54% |
| Adp of the SNF | Mar 1, 2016 | ||
| Raymond a Dennehy | Operational/Managerial Control | Mar 1, 2016 | |
| Indirect Ownership Interest | Feb 29, 2016 | 20% | |
| Bulent Ozcakar | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Aug 19, 2025 | ||
| Adp of the SNF | Apr 9, 2025 | ||
| Brooke Johnson | Operational/Managerial Control | Aug 28, 2023 | |
| Adp of the SNF | Aug 19, 2025 | ||
| Adp of the SNF | Aug 19, 2025 | ||
| Adp of the SNF | Apr 9, 2025 | ||
| Marsha Murphy | Operational/Managerial Control | Jan 27, 2025 | |
| Collin Baude | Operational/Managerial Control | Jan 6, 2025 | |
| Steven L Vera | 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.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1174935894
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Beechwood Health & Rehabilitation Center
- Skilled Nursing Facility
- New London, CT
- NPI 1639980345
Wachusett Ventures LLC
-
dba Villa Maria Nursing and Rehabilitation Community
- Skilled Nursing Facility
- Plainfield, CT
- NPI 1033874425
Wachusett Ventures LLC
-
dba Parkway Pavilion Health and Rehabilitation Center
- Skilled Nursing Facility
- Enfield, CT
- NPI 1821541194
Wachusett Ventures LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.