WV-Parkway Pavilion LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2395 Issued in CT

Legal business name

WV-PARKWAY PAVILION LLC

Doing business as

Parkway Pavilion Health and Rehabilitation Center

Practice address

1157 Enfield St
Enfield, CT 06082-4367

Phone

(860) 745-1641

NPI assigned

Aug 3, 2016

Organization subpart

Yes

Parent organization

WACHUSETT VENTURES, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Raymond A. Dennehy

Title

Principal

Phone

(978) 464-7729

Specialties & licenses 1

Addresses

Other names 1

• Parkway Pavilion Health and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Skilled nursing facility certification: CCN 075195

Legal name

WV-PARKWAY PAVILION LLC

Doing business as

PARKWAY PAVILION HEALTH AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1976

Last certification

Sep 11, 2024

Beds

130

Ownership / control type

Partnership

Multi-facility organization

WACHUSETT HEALTH CARE

Most recent change of ownership

Oct 5, 2016

Organization structure

LLCProprietary

Enrollment address

1157 Enfield St
Enfield, CT 06082-4367

Nursing home name

PARKWAY PAVILION HEALTH AND REHABILITATION CENTER

Listed as

Parkway Pavilion Health and Rehabilitation CenterCCN 075195 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Apr 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

130121.4 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

Part of

Wachusett Ventures LLC

All disclosed owners & managing parties 23

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.

• Darshan J Shah, M.D.

  • Internal Medicine Physician
  • Enfield, CT
  • NPI 1558355750

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Beechwood SNF Opco LLC

  dba Beechwood Health & Rehabilitation Center

  • Skilled Nursing Facility
  • New London, CT
  • NPI 1639980345

  Wachusett Ventures LLC

  CMS ownership
• Plainfield SNF Opco LLC

  dba Villa Maria Nursing and Rehabilitation Community

  • Skilled Nursing Facility
  • Plainfield, CT
  • NPI 1033874425

  Wachusett Ventures LLC

  CMS ownership
• WV-Crossings East LLC

  dba Crossings East Health and Rehabilitation Center

  • Skilled Nursing Facility
  • New London, CT
  • NPI 1619421872

  Wachusett Ventures LLC

  CMS ownership

Affiliated clinicians 2

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

• George Donahue, MD

  • Internal Medicine Physician
  • Enfield, CT
  • NPI 1710964325

  Nursing home

  Care Compare affiliation
• Darshan J Shah, M.D.

  • Internal Medicine Physician
  • Enfield, CT
  • NPI 1558355750

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1821541194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 ENFIELD ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824367",
            "telephone_number": "860-745-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 ENFIELD ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824367",
            "telephone_number": "860-745-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WV-PARKWAY PAVILION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WACHUSETT VENTURES, LLC",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "DENNEHY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "978-464-7729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Pavilion Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena Katherine Woodard
• John Wozniak, RPH
• Alexander Woznicki, AUD
• Harold S Wright, PA
• Nakia C Wright
• Alysha S Yard
• Lily Yeh, OD
• Karen Yencho, APRN
• Maria Geryl Yonika, RPT
• Kellie J Youmans

• Skilled Nursing Facility in Enfield, CT
• Providers in Enfield, 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 Aug 3, 2016; 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.