Evergreen Acquisition Operator, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EVERGREEN ACQUISITION OPERATOR, LLC

Doing business as

Evergreen Center for Health & Rehabilitation

Practice address

205 Chestnut Hill Rd
Stafford Springs, CT 06076-4005

Phone

(516) 705-4800

Fax

(516) 887-8494

NPI assigned

May 10, 2024

Last updated

May 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marvin J Ostreicher

Title

Managing Member

Phone

(516) 705-4801

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Center for Health & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700634094. Details of each certification follow.

• CCN 075326 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075326

Legal name

EVERGREEN ACQUISITION OPERATOR LLC

Doing business as

EVERGREEN CENTER FOR HEALTH AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 26, 1989

Last certification

Nov 22, 2024

Beds

180

Ownership / control type

Limited Liability Corporation

Multi-facility organization

NATIONAL HEALTH CARE ASSOCIATES

Most recent change of ownership

Jun 7, 2024

Organization structure

LLCProprietary

Enrollment address

205 Chestnut Hill Rd
Stafford Springs, CT 06076-4005

Nursing home name

EVERGREEN CENTER FOR HEALTH & REHABILITATION

Affiliated entity

NATIONAL HEALTH CARE ASSOCIATES

Listed as

Evergreen Center for Health & RehabilitationCCN 075326 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 26, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180170.1 residents per day on average

Chain

National Health Care Associates42 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 29

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.

• Dushyant Parikh, M.D.

  • Internal Medicine Physician
  • Enfield, CT
  • NPI 1023033008

  Adp of the SNF

  CMS ownership

Facilities with the same owner 15

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

• Beacon Brook Acquisition Operator, LLC

  dba Beacon Brook Center for Health & Rehabilitation

  • Skilled Nursing Facility
  • Naugatuck, CT
  • NPI 1033967336

  Cedar Hill Capital Associates LLC, David Ostreicher Family Trust, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, Michelle Ostreicher Family Trust, Mydert Holdings LLC, National Health Care Associ

  CMS ownership
• Glastonbury Acquisition Operator LLC

  • Skilled Nursing Facility
  • Glastonbury, CT
  • NPI 1972340016

  Cedar Hill Capital Associates LLC, David Ostreicher Family Trust, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, Michelle Ostreicher Family Trust, National Health Care Associates Inc, Oak Managem

  CMS ownership
• Hebrew Home for Health and Rehabilitation LLC

  • Skilled Nursing Facility
  • West Hartford, CT
  • NPI 1467907584

  Ysro Trust

  CMS ownership
• Laurel Ridge Acquisition Operator LLC

  • Skilled Nursing Facility
  • Ridgefield, CT
  • NPI 1417794553

  Cedar Hill Capital Associates LLC, David Ostreicher Family Trust, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, Michelle Ostreicher Family Trust, National Health Care Associates Inc, Oak Managem

  CMS ownership
• Maefair Acquisition Operator LLC

  • Skilled Nursing Facility
  • Trumbull, CT
  • NPI 1871330910

  Cedar Hill Capital Associates LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Trust

  CMS ownership
• Mansfield Acquisition Operator LLC

  dba Mansfield Center for Health and Rehabilitation

  • Skilled Nursing Facility
  • Storrs, CT
  • NPI 1043048044

  Cedar Hill Capital Associates LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, Michelle Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Trust

  CMS ownership
• Montowese Acquisition Operator, LLC

  dba Montowese Center for Health & Rehabilitation

  • Skilled Nursing Facility
  • North Haven, CT
  • NPI 1629826912

  Cedar Hill Capital Associates LLC, David Ostreicher Family Trust, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, Michelle Ostreicher Family Trust, Mydert Holdings LLC, National Health Care Associ

  CMS ownership
• Newtown Acquisition Operator, LLC

  dba Stone Bridge Center for Nursing & Rehabilitation

  • Skilled Nursing Facility
  • Sandy Hook, CT
  • NPI 1396593687

  Cedar Hill Capital Associates LLC, David Ostreicher Family Trust, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, Michelle Ostreicher Family Trust, Mydert Holdings LLC, National Health Care Associ

  CMS ownership
• Shady Knoll Acquisition Operator LLC

  • Skilled Nursing Facility
  • Seymour, CT
  • NPI 1225875362

  Cedar Hill Capital Associates LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, Ysro Trust

  CMS ownership
• Sharon Acquisition Operator, LLC

  dba Sharon Center for Health & Rehabilitation

  • Skilled Nursing Facility
  • Sharon, CT
  • NPI 1386492668

  Cedar Hill Capital Associates LLC, David Ostreicher Family Trust, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, Michelle Ostreicher Family Trust, Mydert Holdings LLC, National Health Care Associ

  CMS ownership
• Summit at Plantsville Acquisition Operator LLC

  • Skilled Nursing Facility
  • Plantsville, CT
  • NPI 1598502635

  Cedar Hill Capital Associates LLC, Ilana Ostreicher Family Trust, Juniper Capital Associates LLC, Marc Ephram Ostreicher Family Trust, Michelle Ostreicher Family Trust, National Health Care Associates Inc, Oak Management Capital LLC, White Deer Inv

  CMS ownership
• Constellation Hospice Oh, LLC

  dba Constellation Hospice

  • Community Based Hospice Care Agency
  • Cincinnati, OH
  • NPI 1477307940

  Cedar Hill Capital Associates LLC, Juniper Capital Associates LLC, Oak Management Capital LLC, Ysro Trust

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jong Gil Oh, MD

  • Internal Medicine Physician
  • Farmington, CT
  • NPI 1245296573

  Nursing home

  Care Compare affiliation
• Bulent Ozcakar

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1174935894

  Nursing home

  Care Compare affiliation
• Dushyant Parikh, M.D.

  • Internal Medicine Physician
  • Enfield, CT
  • NPI 1023033008

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1700634094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E SUNRISE HWY FL 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811260",
            "telephone_number": "516-705-4800",
            "fax_number": "516-887-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CHESTNUT HILL RD",
            "city": "STAFFORD SPRINGS",
            "state": "CT",
            "postal_code": "060764005",
            "telephone_number": "516-705-4800",
            "fax_number": "516-887-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ACQUISITION OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "OSTREICHER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-705-4801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Center for Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Echn Johnson Memorial Hospital, Inc.
• Deborah Eddinger, LCSW
• Laura Namata Ekatan
• Carlos Alberto Enciso Chaves, M.D.
• Brendan Evans, OTR
• Lisa Fargnoli, LCSW
• Cynthia L Ferree
• Karen Louise Friedmann, MSW
• Dawn C. Froonjian, FNP
• Brian M Fry, PA

• Skilled Nursing Facility in Stafford Springs, CT
• Providers in Stafford Springs, 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 10, 2024; 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.