Organization Active NPI

Beechwood SNF Opco LLC

Doing business as Beechwood Health & Rehabilitation Center

  • Skilled Nursing Facility
  • New London, CT
National Provider Identifier
1639980345
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEECHWOOD SNF OPCO LLC
Doing business as
Beechwood Health & Rehabilitation Center
Practice address
31 Vauxhall St
New London, CT 06320-5723
Phone
(860) 442-4363
Fax
(860) 447-3749
NPI assigned
Jan 14, 2025
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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) 886-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

31 Vauxhall St
New London, CT 06320-5723

Mailing address

31 Vauxhall St
New London, CT 06320-5723
Phone (860) 442-4363

Other names 1

  • Beechwood Health & 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
O20250627002968 CT Part A Provider - Skilled Nursing Facility 7315450897 Practice locations: New London, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639980345. Details of each certification follow.

Skilled nursing facility certification: CCN 075335

Legal name
BEECHWOOD SNF OPCO LLC
Doing business as
BEECHWOOD HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 2, 1990
Last certification
Apr 20, 2023
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
WATCHUSSET
Organization structure
LLCProprietary
Enrollment address
31 Vauxhall St
New London, CT 06320-5723
Nursing home name
BEECHWOOD HEALTH & REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Beechwood Health & Rehabilitation CenterCCN 075335 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 2, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6056.5 residents per day on average

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
07D0692807Beechwood SNF Opco LLC31 Vauxhall Street, New London, CT 06320Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Lauren M Doherty Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF May 21, 2025
Brandon Munson Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 27, 2025
Wachusett Ventures LLC Organization, North Easton, MA LLC, Management services company Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 27, 2025
Joseph Lopatosky Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Joel E Kirchick Individual 5% Or Greater Direct Ownership Interest Dec 20, 2023 33.33%
Adp of the SNF Mar 1, 2025
Direct Ownership Interest Mar 1, 2025 33.33%
Raymond a Dennehy Individual 5% Or Greater Direct Ownership Interest Dec 20, 2023 33.33%
Adp of the SNF Mar 1, 2025
Direct Ownership Interest Mar 1, 2025 33.33%
Berkadia Commercial Mortgage LLC Organization, Ambler, PA Financial institution 5% Or Greater Mortgage Interest Mar 1, 2025
Organization, New London, CT LLC Adp of the SNF Mar 1, 2025
Organization, New London, CT LLC, Holding company Adp of the SNF Mar 1, 2025
Steven L Vera Individual 5% Or Greater Direct Ownership Interest Dec 20, 2023 33.34%
Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Direct Ownership Interest Mar 1, 2025 33.34%

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.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1639980345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 VAUXHALL ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205723",
            "telephone_number": "860-442-4363",
            "fax_number": "860-447-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 VAUXHALL ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205723",
            "telephone_number": "860-442-4363",
            "fax_number": "860-447-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHWOOD SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "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": "978-886-3336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beechwood Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.