Organization Active NPI

Notre Dame Convalescent Home Inc

  • Skilled Nursing Facility
  • Norwalk, CT
National Provider Identifier
1649330820
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 075356 · 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
Non profit - Corporation
Certified
Oct 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6056.3 residents per day on average
Penalties (3 years)
1Fines totaling $8,278

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Dana Paul Individual Corporate OfficerAdministrator Nov 1, 2001
Operational/Managerial Control Apr 2, 2013
Francoise Golder Individual Corporate DirectorDirector Oct 1, 2013
Marie Lucian Monique Helina Monast Individual Corporate Officer Nov 1, 2001
John Devine Individual Corporate OfficerSecretary Nov 1, 2010
Mark Simon Individual Corporate OfficerTreasurer 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

Verify at the official NPI Registry.