Windham Health & Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WINDHAM HEALTH & REHAB LLC

Practice address

595 Valley St
Willimantic, CT 06226-1901

Phone

(860) 450-7060

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Shimshon Fisher

Title

Partner

Phone

(732) 703-0833

Specialties & licenses 1

Addresses

Other names 1

• Vanderman Place Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Skilled nursing facility certification: CCN 075425

Legal name

WINDHAM HEALTH & REHAB LLC

Doing business as

VANDERMAN PLACE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 15, 2000

Last certification

May 2, 2023

Beds

124

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jul 17, 2022 in CT

Enrollment address

595 Valley St
Willimantic, CT 06226-1901

Nursing home name

VANDERMAN PLACE

Listed as

Vanderman PlaceCCN 075425

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 15, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

124103.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 4

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

Affiliated clinicians 1

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

• Jong Gil Oh, MD

  • Internal Medicine Physician
  • Farmington, CT
  • NPI 1245296573

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1891433504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 HARVARD ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012077",
            "telephone_number": "732-703-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 VALLEY ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261901",
            "telephone_number": "860-450-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM HEALTH & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "SHIMSHON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-703-0833"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanderman Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Windham Community Memorial Hospital, Inc.
• Windham Eye Group
• Windham Eye Group P.C.
• Windham Family Medical Services, PC
• Windham Gi, LLC
• Windham Medical Group
• Windham Radiology Associates
• Windham Surgical Group, P.C.
• Windham Urology Group, PC
• Kayla Winshman, OD

• Skilled Nursing Facility in Willimantic, CT
• Providers in Willimantic, 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 Oct 25, 2022; 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.