Chestelm Skilled Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHESTELM SKILLED OPERATIONS LLC

Practice address

534 Town St
Moodus, CT 06469-1101

Phone

(860) 873-1455

NPI assigned

Dec 4, 2024

Last updated

Jun 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Kalmanowitz

Title

Manager

Phone

(860) 873-1455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831905876. Details of each certification follow.

• CCN 075307 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075307

Legal name

CHESTELM SKILLED OPERATIONS LLC

Doing business as

CHESTELM HEALTH AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1986

Last certification

Nov 26, 2024

Beds

76

Ownership / control type

Corporation

Organization structure

LLCProprietary

Enrollment address

534 Town St
Moodus, CT 06469-1101

Nursing home name

CHESTELM HEALTH AND REHABILITATION CENTER

Listed as

Chestelm Health and Rehabilitation CenterCCN 075307 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 1, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7670.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 13

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.

• Dana Cavicke, M.D.

  • Family Medicine Physician
  • Plainfield, CT
  • NPI 1639180607

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1831905876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 TOWN ST",
            "city": "MOODUS",
            "state": "CT",
            "postal_code": "064691101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 TOWN ST",
            "city": "MOODUS",
            "state": "CT",
            "postal_code": "064691101",
            "telephone_number": "860-873-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTELM SKILLED OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "KALMANOWITZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-873-1455"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanisha Bergeron, MA.CCC-SLP
• Bridges Counseling and Wellness PLLC
• Katrina Casey
• Chestelm Adult Day Services Inc (Chestelm Adult Day Services)
• Chestelm Health Care, Inc
• Chestelm SNF Operations LLC
• Lisa L Conroy, ATC, LAT
• Chelsea Da Paz
• Derek Donovan, PA-C
• East Haddam Board of Education

• Skilled Nursing Facility in Moodus, CT
• Providers in Moodus, 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 Jun 18, 2025; 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.