Organization Active NPI

Bethel Health and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Bethel, CT
National Provider Identifier
1740382803
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2218C Issued in CT
Legal business name
BETHEL HEALTH AND REHABILITATION CENTER LLC
Practice address
13 Park Lawn Dr
Bethel, CT 06801-1043
Phone
(203) 830-4180
Fax
(203) 830-4185
NPI assigned
Sep 1, 2006
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Mrs. Mary G. Butler
Title
Assistant Administrator
Phone
(203) 830-4180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2218C CT Primary

Addresses

Primary practice location

13 Park Lawn Dr
Bethel, CT 06801-1043

Mailing address

13 Park Lawn Dr
Bethel, CT 06801-1043
Phone (203) 830-4180

Other identifiers 2

IdentifierTypeStateIssuer
000021387MedicaidCT
2218COtherCTDEPT OF HEALTH LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070614000599 NY Part A Provider - Skilled Nursing Facility 4880792852 Practice locations: Bethel, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740382803. Details of each certification follow.

Skilled nursing facility certification: CCN 075400

Legal name
BETHEL HEALTH AND REHABILITATION CENTER LLC
Doing business as
BETHEL HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 16, 1994
Last certification
Sep 6, 2023
Beds
161
Ownership / control type
Corporation
Multi-facility organization
National Health Care Associates
Organization structure
LLCProprietary
Incorporated
Jan 16, 1998 in DE
Enrollment address
13 Park Lawn Dr
Bethel, CT 06801-1043
Nursing home name
BETHEL HEALTH CARE CENTER
Affiliated entity
NATIONAL HEALTH CARE ASSOCIATES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bethel Health Care CenterCCN 075400 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 16, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
161151.6 residents per day on average
Chain
National Health Care Associates42 facilities in the chain
Penalties (3 years)
2Fines totaling $16,036

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 70

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

NameRoleSinceShare
Barry Bokow 2012 Family Trust Organization, Far Rockaway, NY For-profit Adp of the SNF Aug 7, 2020
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Marvin J. Ostreicher Individual Corporate DirectorManaging Member Jan 1, 2017 100%
Operational/Managerial Control Jan 1, 2017
Adp of the SNF Jan 1, 2017
Marvin Ostreicher Family Trust 2012 Organization, Valley Stream, NY For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2017 18.35%
Adp of the SNF Jun 13, 2017
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
Susan Ostreicher Family Trust 2012 Organization, Valley Stream, NY For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2017 18.35%
Adp of the SNF Jun 13, 2017
Thomas Joseph Gilmartin Individual Corporate DirectorChief Financial Officer Jul 1, 2016 50%
Adp of the SNF Jul 1, 2016
Preferred Professional Services LLC Organization, Wethersfield, CT LLC, Medical staffing company, For-profit Adp of the SNF Jan 1, 2017
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Meaghan a Miller Individual Direct Ownership Interest Jan 1, 2017 0.49%
David Ostreicher Individual Adp of the SNF May 14, 2025
Mary G McCollam Individual Direct Ownership Interest Jan 1, 2017 1.5%
BPB Ventures LLC Organization, Far Rockaway, NY LLC, For-profit Adp of the SNF Jan 1, 2017
Cedar Hill NG Trust Organization, Far Rockaway, NY For-profit Adp of the SNF Jan 7, 2026
Indirect Ownership Interest May 14, 2025 2.3%
Estate of Roland Charles Butler Organization, Mashpee, MA 5% Or Greater Direct Ownership Interest Apr 7, 2025 36.52%
Adp of the SNF Apr 7, 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
Preferred Therapy Solutions LLC Organization, Wethersfield, CT LLC, Medical provider/supplier, For-profit Adp of the SNF Jan 1, 2017
National Health Care Associates Inc Organization, Valley Stream, NY Corporation, Management services company, For-profit Adp of the SNF Jan 1, 2017
Grace Flight Individual 5% Or Greater Direct Ownership Interest Jun 6, 2007 7%
Adp of the SNF Jun 13, 2017
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
Robert Butler Individual Direct Ownership Interest Jan 1, 2017 1.75%
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Matthew R Butler Individual Direct Ownership Interest Jan 1, 2017 1%
Individual Adp of the SNF Oct 1, 2025
Elizabeth Almeida Individual Adp of the SNF Jan 1, 2017
Individual Adp of the SNF Oct 1, 2025
Susan Ostreicher Individual Adp of the SNF Jan 1, 2017
Oak Drive NG Trust Organization, Far Rockaway, NY For-profit Adp of the SNF Jan 7, 2026
Indirect Ownership Interest May 14, 2025 2.3%
Ira Geffner Individual Indirect Ownership Interest Jan 1, 2017 2.55%
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
Bethel Investors, LLC Organization, Valley Stream, NY Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2017 51%
Adp of the SNF Jan 1, 2017
Mary Butler Individual Direct Ownership Interest Jan 1, 2017 0.49%
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Individual Adp of the SNF Oct 1, 2025
Rolling Hill NG Trust Organization, Lawrence, NY For-profit Adp of the SNF Jan 7, 2026
Indirect Ownership Interest May 14, 2025 2.3%
BPB Equity Holdings LLC Organization, Far Rockaway, NY LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Jan 1, 2018 2.55%
Bethel Health Care Realty, LLC Organization, Bethel, CT LLC, For-profit Adp of the SNF Jun 13, 2017
Erin Healy Individual Operational/Managerial Control Jan 7, 2019
Adp of the SNF Jan 2, 2026
Individual Adp of the SNF Oct 1, 2025
Helen Butler Individual Direct Ownership Interest Jan 1, 2017 0.25%
Individual Adp of the SNF Oct 1, 2025
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
Individual Adp of the SNF Oct 1, 2025
Amber Brody Individual Operational/Managerial Control Oct 1, 2020
Adp of the SNF Oct 17, 2025
Organization, Portland, ME LLC Adp of the SNF Nov 21, 2025
Juniper NG Trust Organization, Lawrence, NY For-profit Adp of the SNF Jan 7, 2026
Indirect Ownership Interest May 14, 2025 2.3%
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 11

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

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": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1740382803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PARK LAWN DR",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011043",
            "telephone_number": "203-830-4180",
            "fax_number": "203-830-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PARK LAWN DR",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011043",
            "telephone_number": "203-830-4180",
            "fax_number": "203-830-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "203-830-4180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2218C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000021387",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH LICENSE",
            "identifier": "2218C",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

Verify at the official NPI Registry.