Active NPI
Bethel Health and Rehabilitation Center LLC
- Skilled Nursing Facility
- Bethel, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2218C
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000021387 | Medicaid | CT | |
| 2218C | Other | CT | DEPT OF HEALTH LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 16, 1994
- Medicare certification status
- Active
- Certified beds
- 161
- Chain
- National Health Care Associates
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Barry Bokow 2012 Family Trust | Adp of the SNF | Aug 7, 2020 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Marvin J. Ostreicher | Corporate Director | Jan 1, 2017 | 100% |
| Operational/Managerial Control | Jan 1, 2017 | ||
| Adp of the SNF | Jan 1, 2017 | ||
| Marvin Ostreicher Family Trust 2012 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2017 | 18.35% |
| Adp of the SNF | Jun 13, 2017 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Susan Ostreicher Family Trust 2012 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2017 | 18.35% |
| Adp of the SNF | Jun 13, 2017 | ||
| Thomas Joseph Gilmartin | Corporate Director | Jul 1, 2016 | 50% |
| Adp of the SNF | Jul 1, 2016 | ||
| Preferred Professional Services LLC | Adp of the SNF | Jan 1, 2017 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Meaghan a Miller | Direct Ownership Interest | Jan 1, 2017 | 0.49% |
| David Ostreicher | Adp of the SNF | May 14, 2025 | |
| Mary G McCollam | Direct Ownership Interest | Jan 1, 2017 | 1.5% |
| BPB Ventures LLC | Adp of the SNF | Jan 1, 2017 | |
| Cedar Hill NG Trust | Adp of the SNF | Jan 7, 2026 | |
| Indirect Ownership Interest | May 14, 2025 | 2.3% | |
| Estate of Roland Charles Butler | 5% Or Greater Direct Ownership Interest | Apr 7, 2025 | 36.52% |
| Adp of the SNF | Apr 7, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Preferred Therapy Solutions LLC | Adp of the SNF | Jan 1, 2017 | |
| National Health Care Associates Inc | Adp of the SNF | Jan 1, 2017 | |
| Grace Flight | 5% Or Greater Direct Ownership Interest | Jun 6, 2007 | 7% |
| Adp of the SNF | Jun 13, 2017 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Marc E Ostreicher | Adp of the SNF | May 14, 2025 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Robert Butler | Direct Ownership Interest | Jan 1, 2017 | 1.75% |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Matthew R Butler | Direct Ownership Interest | Jan 1, 2017 | 1% |
| Adp of the SNF | Oct 1, 2025 | ||
| Elizabeth Almeida | Adp of the SNF | Jan 1, 2017 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Susan Ostreicher | Adp of the SNF | Jan 1, 2017 | |
| Oak Drive NG Trust | Adp of the SNF | Jan 7, 2026 | |
| Indirect Ownership Interest | May 14, 2025 | 2.3% | |
| Ira Geffner | Indirect Ownership Interest | Jan 1, 2017 | 2.55% |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Bethel Investors, LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2017 | 51% |
| Adp of the SNF | Jan 1, 2017 | ||
| Mary Butler | Direct Ownership Interest | Jan 1, 2017 | 0.49% |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Rolling Hill NG Trust | Adp of the SNF | Jan 7, 2026 | |
| Indirect Ownership Interest | May 14, 2025 | 2.3% | |
| BPB Equity Holdings LLC | Indirect Ownership Interest | Jan 1, 2018 | 2.55% |
| Bethel Health Care Realty, LLC | Adp of the SNF | Jun 13, 2017 | |
| Erin Healy | Operational/Managerial Control | Jan 7, 2019 | |
| Adp of the SNF | Jan 2, 2026 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Helen Butler | Direct Ownership Interest | Jan 1, 2017 | 0.25% |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Michael Bokow | Adp of the SNF | Sep 30, 2015 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2025 | ||
| Rebecca Lopiansky | Adp of the SNF | May 14, 2025 | |
| Adp of the SNF | Oct 1, 2025 | ||
| Amber Brody | Operational/Managerial Control | Oct 1, 2020 | |
| Adp of the SNF | Oct 17, 2025 | ||
| Adp of the SNF | Nov 21, 2025 | ||
| Juniper NG Trust | Adp of the SNF | Jan 7, 2026 | |
| Indirect Ownership Interest | May 14, 2025 | 2.3% | |
| 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.
-
- Family Medicine Physician
- Larchmont, NY
- NPI 1093024887
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 11
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Bloomfield Center for Nursing and Rehabilitation
- Skilled Nursing Facility
- Bloomfield, CT
- NPI 1649338567
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
- Skilled Nursing Facility
- Bristol, CT
- NPI 1316153299
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
- Skilled Nursing Facility
- Fairfield, CT
- NPI 1639237555
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
dba Water's Edge Center for Health and Rehabilitation
- Skilled Nursing Facility
- Middletown, CT
- NPI 1225121627
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
- Skilled Nursing Facility
- West Hartford, CT
- NPI 1467907584
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
dba Ludlowe Center for Health and Rehabilitation
- Skilled Nursing Facility
- Fairfield, CT
- NPI 1013947795
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1780742619
Marvin Ostreicher Family Trust 2012
-
- Skilled Nursing Facility
- Milford, CT
- NPI 1376601088
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
dba Village Crest Center for Health and rehabilitation
- Skilled Nursing Facility
- New Milford, CT
- NPI 1972719847
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
-
dba Constellation Health Services
- Community Based Hospice Care Agency
- Newtown, PA
- NPI 1407335706
Susan Ostreicher Family Trust 2012
-
dba Kennebunk Center for Health & Rehabilitation LLC
- Skilled Nursing Facility
- Kennebunk, ME
- NPI 1780924191
Marvin Ostreicher Family Trust 2012, Susan Ostreicher Family Trust 2012
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.