Organization Active NPI

Bloomfield Health Care Center of Connecticut LLC

Doing business as Bloomfield Center for Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Bloomfield, CT
National Provider Identifier
1649338567
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
913-C Issued in CT
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000009134MedicaidCT

Other names 1

  • Bloomfield Center for Nursing and Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 & RehabilitationCCN 075138 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120111.4 residents per day on average
Chain
National Health Care Associates42 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
07D0701076Bloomfield Health Care Center355 Park Ave, Bloomfield, CT 06002Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Wilfred U Elaba Individual Operational/Managerial Control Sep 1, 2020
Adp of the SNF Nov 28, 2025
Barry Bokow 2012 Family Trust Organization, Far Rockaway, NY Adp of the SNF Aug 7, 2020
Individual Adp of the SNF Oct 1, 2025
Marvin J. Ostreicher Individual 5% Or Greater Indirect Ownership InterestMarvin Ostreicher Family Trust 2012 Sep 10, 2021 25%
Operational/Managerial Control Mar 19, 1999
Adp of the SNF Oct 1, 2003
Marvin Ostreicher Family Trust 2012 Organization, Lawrence, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 10, 2021 25%
Adp of the SNF Sep 10, 2021
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Carlene Green Individual Operational/Managerial Control Jul 11, 2024
Adp of the SNF Nov 28, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Susan Ostreicher Family Trust 2012 Organization, Lawrence, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 10, 2021 25%
Adp of the SNF Sep 10, 2021
Thomas Joseph Gilmartin Individual Operational/Managerial Control Jul 1, 2016
Adp of the SNF Jul 1, 2016
Preferred Professional Services LLC Organization, Wethersfield, CT Medical staffing company, For-profit Adp of the SNF Oct 1, 2003
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
David Ostreicher Individual Adp of the SNF May 14, 2025
BPB Ventures LLC Organization, Far Rockaway, NY LLC, For-profit Adp of the SNF Aug 7, 2020
Cedar Hill NG Trust Organization, Far Rockaway, NY Adp of the SNF May 14, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Barry Bokow Individual Adp of the SNF Oct 1, 2008
Preferred Therapy Solutions LLC Organization, Wethersfield, CT LLC, Medical provider/supplier, For-profit Adp of the SNF Oct 1, 2008
National Health Care Associates Inc Organization, Valley Stream, NY Corporation, Management services company, For-profit Adp of the SNF Jan 1, 2001
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Marc E Ostreicher Individual Adp of the SNF May 14, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Elizabeth Almeida Individual Adp of the SNF Oct 1, 2008
Susan Ostreicher Individual 5% Or Greater Indirect Ownership InterestSusan Ostreicher Family Trust 2012 Sep 10, 2021 25%
Adp of the SNF Oct 1, 2003
Oak Drive NG Trust Organization, Far Rockaway, NY Adp of the SNF May 14, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Edsr Associates, LLC Organization, Lawrence, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 10, 2021 50%
Adp of the SNF Sep 10, 2021
Rolling Hill NG Trust Organization, Lawrence, NY Adp of the SNF May 14, 2025
Kenneth Zitter Individual Adp of the SNF Sep 10, 2021
Bloomfield Health Care Realty of Connecticut LLC Organization, Bloomfield, CT LLC, For-profit Adp of the SNF Nov 18, 1998
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Shayna Steg Individual Adp of the SNF May 14, 2025
Senga Trust Organization, Lawrence, NY Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 10, 2021 50%
Adp of the SNF Sep 10, 2021
Individual Adp of the SNF Oct 1, 2025
Michael Bokow Individual Adp of the SNF Sep 30, 2015
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Rebecca Lopiansky Individual Adp of the SNF May 14, 2025
Juniper NG Trust Organization, Lawrence, NY Adp of the SNF May 14, 2025
Organization, Portland, ME LLC, For-profit Adp of the SNF Nov 28, 2025
Individual 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.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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": "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

Sources for this page

Verify at the official NPI Registry.