Active NPI
Cheshire House LLC
Doing business as Cheshire House Health Care Facility
- Skilled Nursing Facility
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2141C
- Legal business name
- CHESHIRE HOUSE LLC
- Doing business as
- Cheshire House Health Care Facility
- Practice address
- 3396 E Main St
Waterbury, CT 06705-3812 - Phone
- (203) 754-2161
- Fax
- (203) 756-2293
- NPI assigned
- Sep 26, 2005
- Last updated
- Apr 25, 2008
- 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
- Mr. Martin Sbriglio, RN, NHA, CEO
- Title
- Owner
- Phone
- (203) 381-1327
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2141C | CT | Primary |
Addresses
Primary practice location
3396 E Main St
Waterbury, CT 06705-3812
Mailing address
3396 E Main St
Waterbury, CT 06705-3812
Phone (203) 754-2161
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A1298909 | Other | CT | OXFORD - HMO CARRIER |
| 000006577 | Medicaid | CT | |
| 647 | Other | CT | ANTHEM BC/BS CT |
| 0831560001 | Other | CT | NSC - DMERC |
Other names 1
- Cheshire House Health Care Facility
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070207000023 | NY | Part A Provider - Skilled Nursing Facility | 7416959366 | Practice locations: Waterbury, CT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1831185883. Details of each certification follow.
Skilled nursing facility certification: CCN 075373
- Legal name
- CHESHIRE HOUSE LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1992
- Last certification
- Apr 22, 2025
- Beds
- 75
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- RYDERS HEALTH MANAGEMENT, LLC
- Organization structure
- LLC
- Incorporated
- Jun 24, 2008 in CT
- Enrollment address
- 3396 E Main St
Waterbury, CT 06705-3812 - Nursing home name
- CHESHIRE HOUSE HEALTH CARE FACILITY & REHAB CENTER
- Affiliated entity
- RYDERS HEALTH MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cheshire House Health Care Facility & Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 1, 1992
- Medicare certification status
- Active
- Certified beds
- 75
- Chain
- Ryders Health Management
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0689642 | Cheshire House Nursing & Rehab Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Cheshire House
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Waterbury, CT
- NPI 1962833178
Locations
3396 E Main St
Waterbury, CT 06705
Phone (203) 754-2161
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Michelle Farmer | Corporate Director | Oct 1, 2002 | |
| Operational/Managerial Control | Oct 1, 2002 | ||
| Martin Sbriglio | 5% Or Greater Direct Ownership Interest | Mar 1, 1994 | 100% |
| Michael Krijgsman | Corporate Officer | Aug 23, 1983 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1831185883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3396 E MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067053812",
"telephone_number": "203-754-2161",
"fax_number": "203-756-2293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3396 E MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067053812",
"telephone_number": "203-754-2161",
"fax_number": "203-756-2293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESHIRE HOUSE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "SBRIGLIO",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-381-1327",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN, NHA, CEO"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "2141C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD - HMO CARRIER",
"identifier": "A1298909",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000006577",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS CT",
"identifier": "647",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC - DMERC",
"identifier": "0831560001",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cheshire House Health Care Facility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.