West Haven Center for Nursing & Rehabilitation, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WEST HAVEN CENTER FOR NURSING & REHABILITATION, LLC

Practice address

310 Terrace Ave
West Haven, CT 06516-2638

Phone

(203) 654-2100

NPI assigned

May 27, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Menajem Salamon

Title

Principal

Phone

(718) 882-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Skilled nursing facility certification: CCN 075201B

Legal name

WEST HAVEN CENTER FOR NURSING & REHABILITATION LLC

Doing business as

WEST HAVEN CENTER FOR NURSING AND REHABILITATION

Organization structure

LLCProprietary

Incorporated

Feb 23, 2021 in CT

Enrollment address

310 Terrace Ave
West Haven, CT 06516-2638

Nursing home name

WEST HAVEN CENTER FOR NURSING & REHABILITATION

Affiliated entity

ESSENTIAL HEALTHCARE

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 11

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Benjamin Yeboah, MD

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1174705636

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1649846015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TERRACE AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162638",
            "telephone_number": "203-654-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TERRACE AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162638",
            "telephone_number": "203-654-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HAVEN CENTER FOR NURSING & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "SALAMON",
        "authorized_official_first_name": "MENAJEM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "718-882-6400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010926",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wekare Home Care LLC
• Patrick M Welch, APRN
• Alesia Wellington, LCSW
• Danielle Wesolowicz, PHD
• West Haven Board of Education
• West Haven Dental LLC
• West Haven Markets Inc
• West Haven Medical Group, LLC
• West Haven Medical Group, LLC
• West Haven Pediatrics, LLC

• Skilled Nursing Facility in West Haven, CT
• Providers in West Haven, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.

Verify at the official NPI Registry.