NPIMap

Organization Active NPI

Wadsworth Glen Inc

Doing business as Wadsworth Glen Health Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Middleton, CT
National Provider Identifier
1730137993
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2025C Issued in CT
Legal business name
WADSWORTH GLEN INC
Doing business as
Wadsworth Glen Health Care & Rehabilitation Center
Practice address
30 Boston Road
Middleton, CT 06457
Phone
(860) 346-9299
Fax
(860) 343-5030
NPI assigned
May 4, 2006
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Lawrence G. Santilli
Title
President/Ceo
Phone
(860) 751-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2025C CT Primary

Addresses

Primary practice location

30 Boston Road
Middleton, CT 06457

Mailing address

30 Boston Road
Middleton, CT 06457
Phone (860) 346-9299

Other names 1

  • Wadsworth Glen Health Care & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070920000513 CT Part A Provider - Skilled Nursing Facility 7214021344 Practice locations: Middletown, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730137993. Details of each certification follow.

Skilled nursing facility certification: CCN 075312

Legal name
WADSWORTH GLEN INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 29, 1987
Last certification
Jun 14, 2023
Beds
102
Ownership / control type
Corporation
Multi-facility organization
ATHENA HEALTH CARE ASSOCIATES INC
Organization structure
CorporationProprietary
Incorporated
May 20, 1987 in CT
Enrollment address
30 Boston Rd
Middletown, CT 06457-3543
Nursing home name
WADSWORTH GLEN HEALTH CARE AND REHABILITATION CENT
Affiliated entity
ATHENA HEALTHCARE SYSTEMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wadsworth Glen Health Care and Rehabilitation CentCCN 075312 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 29, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10287.5 residents per day on average
Chain
Athena Healthcare Systems22 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Wadsworth Glen Health Care Reh2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Lawrence E Santilli Individual 5% Or Greater Direct Ownership Interest Oct 1, 2017 10.26%
Rick Errichetti Individual 5% Or Greater Direct Ownership Interest May 20, 1987 5%
Michael E Mosier Individual Corporate Officer Jul 1, 2007
Corporate Director Jul 1, 2007
Athena Health Care Associates, Inc. Organization, Farmington, CT Corporation Operational/Managerial Control May 20, 1987
Christopher Errichetti Individual 5% Or Greater Direct Ownership Interest May 20, 1987 5%
Lawrence G Santilli Individual 5% Or Greater Direct Ownership Interest Oct 1, 2017 49.97%
Corporate Officer May 20, 1987
Corporate Director May 20, 1987
Joseph Bray Individual W-2 Managing EmployeeAdministrator Oct 18, 2018
Abbott Investment Trust: Denise Piscatelli Organization, New Haven, CT 5% Or Greater Direct Ownership Interest Sep 26, 2019 8.3%

Facilities with the same owner 25

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

View all 25

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1730137993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BOSTON ROAD",
            "city": "MIDDLETON",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-346-9299",
            "fax_number": "860-343-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BOSTON ROAD",
            "city": "MIDDLETON",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-346-9299",
            "fax_number": "860-343-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADSWORTH GLEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2025C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wadsworth Glen Health Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wadsworth Glen Health Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.