Active NPI
Bloomfield Health Care Center of Connecticut LLC
Doing business as Bloomfield Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Bloomfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 913-C
- Legal business name
- BLOOMFIELD HEALTH CARE CENTER OF CONNECTICUT LLC
- Doing business as
- Bloomfield Center for Nursing and Rehabilitation
- Practice address
- 355 Park Ave
Bloomfield, CT 06002-3105 - Phone
- (860) 242-8595
- Fax
- (860) 242-6512
- NPI assigned
- Dec 4, 2006
- Last updated
- Mar 4, 2022
- 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
- Mr. Barry Bokow
- Title
- Cfo
- Phone
- (516) 705-4800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 913-C | CT | Primary |
Addresses
Primary practice location
355 Park Ave
Bloomfield, CT 06002-3105
Mailing address
355 Park Ave
Bloomfield, CT 06002-3105
Phone (860) 242-8595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000009134 | Medicaid | CT |
Other names 1
- Bloomfield Center for Nursing and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110901000375 | CT | Part A Provider - Skilled Nursing Facility | 4486824372 | Practice locations: Bloomfield, CT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1649338567. Details of each certification follow.
Skilled nursing facility certification: CCN 075138
- Legal name
- BLOOMFIELD HEALTH CARE CENTER OF CONNECTICUT LLC
- Doing business as
- BLOOMFIELD HEALTH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1990
- Last certification
- Dec 20, 2022
- Beds
- 120
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- Mar 19, 1999 in CT
- Enrollment address
- 355 Park Ave
Bloomfield, CT 06002-3105 - Nursing home name
- BLOOMFIELD CENTER FOR NURSING & REHABILITATION
- Affiliated entity
- NATIONAL HEALTH CARE ASSOCIATES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bloomfield Center for Nursing & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 1, 1990
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- National Health Care Associates
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
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 |
|---|---|---|---|
| 07D0701076 | Bloomfield Health Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 64
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 |
|---|---|---|---|
| Wilfred U Elaba | Operational/Managerial Control | Sep 1, 2020 | |
| Adp of the SNF | Nov 28, 2025 | ||
| Barry Bokow 2012 Family Trust | Adp of the SNF | Aug 7, 2020 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Marvin J. Ostreicher | 5% Or Greater Indirect Ownership Interest | Sep 10, 2021 | 25% |
| Operational/Managerial Control | Mar 19, 1999 | ||
| Adp of the SNF | Oct 1, 2003 | ||
| Marvin Ostreicher Family Trust 2012 | 5% Or Greater Indirect Ownership Interest | Sep 10, 2021 | 25% |
| Adp of the SNF | Sep 10, 2021 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Carlene Green | Operational/Managerial Control | Jul 11, 2024 | |
| Adp of the SNF | Nov 28, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Susan Ostreicher Family Trust 2012 | 5% Or Greater Indirect Ownership Interest | Sep 10, 2021 | 25% |
| Adp of the SNF | Sep 10, 2021 | ||
| Thomas Joseph Gilmartin | Operational/Managerial Control | Jul 1, 2016 | |
| Adp of the SNF | Jul 1, 2016 | ||
| Preferred Professional Services LLC | Adp of the SNF | Oct 1, 2003 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| David Ostreicher | Adp of the SNF | May 14, 2025 | |
| BPB Ventures LLC | Adp of the SNF | Aug 7, 2020 | |
| Cedar Hill NG Trust | Adp of the SNF | May 14, 2025 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Barry Bokow | Adp of the SNF | Oct 1, 2008 | |
| Preferred Therapy Solutions LLC | Adp of the SNF | Oct 1, 2008 | |
| National Health Care Associates Inc | Adp of the SNF | Jan 1, 2001 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Marc E Ostreicher | Adp of the SNF | May 14, 2025 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Elizabeth Almeida | Adp of the SNF | Oct 1, 2008 | |
| Susan Ostreicher | 5% Or Greater Indirect Ownership Interest | Sep 10, 2021 | 25% |
| Adp of the SNF | Oct 1, 2003 | ||
| Oak Drive NG Trust | Adp of the SNF | May 14, 2025 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Edsr Associates, LLC | 5% Or Greater Direct Ownership Interest | Sep 10, 2021 | 50% |
| Adp of the SNF | Sep 10, 2021 | ||
| Rolling Hill NG Trust | Adp of the SNF | May 14, 2025 | |
| Kenneth Zitter | Adp of the SNF | Sep 10, 2021 | |
| Bloomfield Health Care Realty of Connecticut LLC | Adp of the SNF | Nov 18, 1998 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Shayna Steg | Adp of the SNF | May 14, 2025 | |
| Senga Trust | 5% Or Greater Direct Ownership Interest | Sep 10, 2021 | 50% |
| Adp of the SNF | Sep 10, 2021 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Michael Bokow | Adp of the SNF | Sep 30, 2015 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Rebecca Lopiansky | Adp of the SNF | May 14, 2025 | |
| Juniper NG Trust | Adp of the SNF | May 14, 2025 | |
| Adp of the SNF | Nov 28, 2025 | ||
| Adp of the SNF | Oct 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Hartford, CT
- NPI 1538175765
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 12
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Bethel, CT
- NPI 1740382803
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
- Skilled Nursing Facility
- Bristol, CT
- NPI 1316153299
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
- Skilled Nursing Facility
- Fairfield, CT
- NPI 1639237555
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
dba Water's Edge Center for Health and Rehabilitation
- Skilled Nursing Facility
- Middletown, CT
- NPI 1225121627
Marvin Ostreicher Family Trust 2012, Senga Trust, Susan Ostreicher Family Trust 2012
-
- Skilled Nursing Facility
- West Hartford, CT
- NPI 1467907584
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
dba Ludlowe Center for Health and Rehabilitation
- Skilled Nursing Facility
- Fairfield, CT
- NPI 1013947795
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1780742619
Edsr Associates, LLC, Marvin Ostreicher Family Trust 2012, Senga Trust
-
- Skilled Nursing Facility
- Milford, CT
- NPI 1376601088
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
dba Village Crest Center for Health and rehabilitation
- Skilled Nursing Facility
- New Milford, CT
- NPI 1972719847
Edsr Associates, LLC, Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
dba Regency House Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Wallingford, CT
- NPI 1528126232
Senga Trust
-
dba Constellation Health Services
- Community Based Hospice Care Agency
- Newtown, PA
- NPI 1407335706
Susan Ostreicher Family Trust 2012
-
dba Kennebunk Center for Health & Rehabilitation LLC
- Skilled Nursing Facility
- Kennebunk, ME
- NPI 1780924191
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Hartford, CT
- NPI 1538175765
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646352000000",
"number": "1649338567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 PARK AVE",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023105",
"telephone_number": "860-242-8595",
"fax_number": "860-242-6512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 PARK AVE",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023105",
"telephone_number": "860-242-8595",
"fax_number": "860-242-6512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOMFIELD HEALTH CARE CENTER OF CONNECTICUT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A",
"authorized_official_last_name": "BOKOW",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "516-705-4800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "913-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000009134",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bloomfield Center for Nursing and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bloomfield, CT
- Bloomfield Dental Care Inc
- Bloomfield Eye Surgery Center LLC (The Eye Surgery Center)
- Bloomfield Family Dental PC
- Bloomfield Family Dental, PC
- Bloomfield Foot Specialists,LLC
- Bloomfield Pediatric Dentistry PLLC
- Bloomfield Urgent Care, LLC
- Blooming Wellness & Therapeutic Services LLC
- Rita Bobb-Rollins, DDS
- Body in Motion LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.