Active NPI
Notre Dame Convalescent Home Inc
- Skilled Nursing Facility
- Norwalk, CT
National Provider Identifier
1649330820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NOTRE DAME CONVALESCENT HOME INC
- Practice address
- 76 West Rocks Road
Norwalk, CT 06851-2231 - Phone
- (203) 847-5893
- Fax
- (203) 849-1959
- NPI assigned
- Dec 11, 2006
- Last updated
- Dec 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Delores Tirpak, BOM
- Title
- Business of Manager
- Phone
- (203) 847-5893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
76 West Rocks Road
Norwalk, CT 06851-2231
Mailing address
76 West Rocks Road
Norwalk, CT 06851-2231
Phone (203) 847-5893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120809000590 | CT | Part A Provider - Skilled Nursing Facility | 7618123472 | Practice locations: Norwalk, CT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1649330820. Details of each certification follow.
Skilled nursing facility certification: CCN 075356
- Legal name
- NOTRE DAME CONVALESCENT HOME INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1991
- Last certification
- Aug 27, 2024
- Beds
- 60
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 76W Rocks Rd
Norwalk, CT 06851-2231 - Nursing home name
- NOTRE DAME HEALTH AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Notre Dame Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Oct 1, 1991
- Medicare certification status
- Active
- Certified beds
- 60
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
76 W Rocks Rd
Norwalk, CT 06851
Phone (203) 847-5893
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Dana Paul | Corporate Officer | Nov 1, 2001 | |
| Operational/Managerial Control | Apr 2, 2013 | ||
| Francoise Golder | Corporate Director | Oct 1, 2013 | |
| Marie Lucian Monique Helina Monast | Corporate Officer | Nov 1, 2001 | |
| John Devine | Corporate Officer | Nov 1, 2010 | |
| Mark Simon | Corporate Officer | Nov 1, 2010 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703030400000",
"number": "1649330820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 WEST ROCKS ROAD",
"city": "NORWALK",
"state": "CT",
"postal_code": "068512231",
"telephone_number": "203-847-5893",
"fax_number": "203-849-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 WEST ROCKS ROAD",
"city": "NORWALK",
"state": "CT",
"postal_code": "068512231",
"telephone_number": "203-847-5893",
"fax_number": "203-849-1959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOTRE DAME CONVALESCENT HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A",
"authorized_official_last_name": "TIRPAK",
"authorized_official_first_name": "DELORES",
"authorized_official_title_or_position": "BUSINESS OF MANAGER",
"authorized_official_telephone_number": "203-847-5893",
"authorized_official_credential": "BOM"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.