NPIMap

Organization Active NPI

Sheriden Woods Health Care Center Inc

  • Skilled Nursing Facility
  • Bristol, CT
National Provider Identifier
1841383403
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2004-C Issued in CT
Legal business name
SHERIDEN WOODS HEALTH CARE CENTER INC
Practice address
321 Stonecrest Drive
Bristol, CT 06010
Phone
(860) 583-1827
Fax
(860) 589-1976
NPI assigned
Oct 2, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lawrence G. Santilli
Title
President/Ceo
Phone
(860) 751-3900

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 25

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

View all 25

Affiliated clinicians 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Civita Care Sheriden WoodsCCN 075350
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 - Limited Liability company
Certified
Oct 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
146120.8 residents per day on average
Chain
Athena Healthcare Systems22 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $28,030

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Skilled nursing facility certification: CCN 075350

Medicare enrollment files
Legal name
SHERIDEN WOODS HEALTH CARE CENTER INC
Doing business as
SHERIDEN WOODS HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1991
Last certification
Apr 26, 2024
Beds
146
Ownership / control type
Limited Liability Corporation
Multi-facility organization
CIVITA CARE CENTERS
Organization structure
CorporationProprietary
Incorporated
Oct 30, 1985 in CT
Enrollment address
321 Stonecrest Dr
Bristol, CT 06010-5378
Nursing home name
CIVITA CARE SHERIDEN WOODS
Affiliated entity
ATHENA HEALTHCARE SYSTEMS

All disclosed owners & managing parties 5

Medicare enrollment files

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

NameRoleSinceShare
Lawrence E Santilli Individual 5% Or Greater Direct Ownership Interest Oct 1, 2017 20.55%
Michael E Mosier Individual Corporate Director Jul 1, 2007
W-2 Managing Employee Jan 1, 2017
Athena Health Care Associates, Inc. Organization, Farmington, CT Corporation, Management services company Operational/Managerial Control Oct 30, 1985
Lawrence G Santilli Individual 5% Or Greater Direct Ownership Interest Oct 1, 2017 64.45%
Corporate Director Jan 1, 2016
Joseph Colaci Individual 5% Or Greater Direct Ownership Interest Oct 30, 1985 9%

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20070920000230 CT Part a Provider - Skilled Nursing Facility 5395839492 Practice locations: Bristol, CT

National Provider Directory

National Provider Directory
Tax ID family
Sheriden Woods Health Care Center (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2004-C CT Primary

Addresses

NPPES NPI Registry

Primary practice location

321 Stonecrest Drive
Bristol, CT 06010

Mailing address

321 Stonecrest Drive
Bristol, CT 06010
Phone (860) 583-1827

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
607OtherANTHEM BCBS
000020040MedicaidCT
I70147OtherHEALTHNET

Other names 1

NPPES NPI Registry
  • Sheriden Woods Health Care Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2023.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1841383403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 STONECREST DRIVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-583-1827",
            "fax_number": "860-589-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 STONECREST DRIVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-583-1827",
            "fax_number": "860-589-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDEN WOODS HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2004-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "607",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020040",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "I70147",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheriden Woods Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.