Organization Active NPI

Windsor Health and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Windsor, CT
National Provider Identifier
1770950495
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WINDSOR HEALTH AND REHABILITATION CENTER, LLC
Practice address
581 Poquonock Ave
Windsor, CT 06095-2202
Phone
(860) 688-7211
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Mrs. Lara Alatise, LNHA
Title
President/Ceo
Phone
(860) 688-7211

Specialties & licenses 1

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

Addresses

Primary practice location

581 Poquonock Ave
Windsor, CT 06095-2202

Mailing address

581 Poquonock Ave
Windsor, CT 06095-2202
Phone (860) 688-7211

Other identifiers 1

IdentifierTypeStateIssuer
509589MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151228001322 CT Part A Provider - Skilled Nursing Facility 5294036893 Practice locations: Windsor, CT

Skilled nursing facility certification: CCN 075011

Legal name
WINDSOR HEALTH AND REHABILITATION CENTER LLC
Doing business as
WINDSOR HEALTH AND REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1971
Last certification
Mar 12, 2024
Beds
108
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Aug 17, 2015 in CT
Enrollment address
581 Poquonock Ave
Windsor, CT 06095-2202
Nursing home name
AUTUMN LAKE HEALTHCARE AT WINDSOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Autumn Lake Healthcare at WindsorCCN 075011 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10899.8 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $190,822

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Windsor Health and Rehabilitation Center LLC Organization, Windsor, CT Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Lara M Alatise Individual 5% Or Greater Direct Ownership InterestCeo Jan 1, 2016 50%
W-2 Managing EmployeeExecutive Director Jan 1, 2016 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1770950495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 POQUONOCK AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952202",
            "telephone_number": "860-688-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 POQUONOCK AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952202",
            "telephone_number": "860-688-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR HEALTH AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "ALATISE",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "860-688-7211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509589",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

Verify at the official NPI Registry.