BH Cheshire LLC
Organization Active NPI Skilled Nursing Facility · Cheshire, CT
NPI 1699515841 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1699515841
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BH CHESHIRE LLC
- Practice address
- 745 Highland Ave
Cheshire, CT 06410-1625 - Phone
- (203) 272-7285
- NPI assigned
- May 27, 2024
- Organization subpart
- No
Authorized official
- Name
- Yehudah Pepper
- Title
- Owner
- Phone
- (203) 272-7285
Owners & managing parties with NPI records 1
-
Horatiu C. Balas, M.D.
Facilities with the same owner 8
Affiliated clinicians 1
-
Horatiu C. Balas, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Civita Care Center at Cheshire
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 20, 1973
- Medicare certification status
- Active
- Certified beds
- 120 · 77.6 residents per day on average
- Chain
- Civita Care Centers
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0096073 | Civita Care Center at Cheshire | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Skilled nursing facility certification: CCN 075222
- Legal name
- BH CHESHIRE LLC
- Doing business as
- CIVITA CARE CENTER AT CHESHIRE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 20, 1973
- Last certification
- Jan 15, 2025
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- MATENA HEALTHCARE
- Most recent change of ownership
- Oct 1, 2024
- Organization structure
- LLC · Proprietary
- Enrollment address
- 745 Highland Ave
Cheshire, CT 06410-1625 - Nursing home name
- CIVITA CARE CENTER AT CHESHIRE
- Affiliated entity
- CIVITA CARE CENTERS
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Elliot Schwarcz |
5% Or Greater Indirect Ownership Interest |
Oct 1, 2024 | 50% |
| 5% Or Greater Mortgage Interest |
Oct 1, 2024 | 15% | |
| Adp of the SNF | Jan 13, 2025 | ||
| Horatiu C Balas |
Adp of the SNF | Jan 13, 2025 | |
| 745 Highland LLC |
5% Or Greater Mortgage Interest | Oct 1, 2024 | 100% |
| Adp of the SNF | Jan 13, 2025 | ||
| Esnh LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 50% |
| Adp of the SNF | Jan 13, 2025 | ||
| David Templer |
Adp of the SNF | Jan 13, 2025 | |
| Samuel Friedman |
Adp of the SNF | Jan 13, 2025 | |
| SFNH LLC |
Adp of the SNF | Jan 13, 2025 | |
| Yehuda L Pepper |
5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 50% |
| Operational/Managerial Control | Oct 1, 2024 | ||
| Managing Control - Governing Body |
Oct 1, 2024 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| John Horstman |
Operational/Managerial Control | Oct 1, 2024 | |
| Adp of the SNF | Jan 13, 2025 | ||
| JPNH LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2024 | 50% |
| Adp of the SNF | Jan 13, 2025 | ||
| CT6 Opco Holdco LLC |
5% Or Greater Direct Ownership Interest | Oct 1, 2024 | 100% |
| Everflow Healthcare LLC |
Adp of the SNF | Jan 13, 2025 | |
| CT6 Propco Holdco LLC |
Adp of the SNF | Jan 13, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250108002715 | CT | Part a Provider - Skilled Nursing Facility | 2062940745 | Practice locations: Cheshire, CT |
National Provider Directory
Locations
317 S Little Tor Rd
New City, NY 10956
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
745 Highland Ave
Cheshire, CT 06410-1625
Mailing address
317 S Little Tor Rd
New City, NY 10956-1431
Other providers in Cheshire, CT
- Alvin H Berkon
- Natalie Bernard
- Best Care at Home Services LLC
- Jessica Bevacqua
- Paula Michele Bevilacqua
- Esha Bhardwaj
- Ira Bhatnagar
- Nicole Biatowas
- Chanon C Biceglia
- Olivia Biehl
All providers in Cheshire, CT · Skilled Nursing Facility in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.