Cromwell Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2341 Issued in CT

Legal business name

CROMWELL OPERATIONS LLC

Doing business as

Autumn Lake Healthcare At Cromwell

Practice address

385 Main St
Cromwell, CT 06416-2308

Phone

(860) 635-5613

NPI assigned

Oct 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Aryeh Stern

Title

Member

Phone

(732) 358-6883

Specialties & licenses 1

Addresses

Other names 1

• Autumn Lake Healthcare At Cromwell Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Skilled nursing facility certification: CCN 075263

Legal name

CROMWELL OPERATIONS LLC

Doing business as

AUTUMN LAKE HEALTHCARE AT CROMWELL

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 1979

Last certification

Jul 25, 2024

Beds

175

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Jan 1, 2015

Organization structure

LLCProprietary

Enrollment address

385 Main St
Cromwell, CT 06416-2308

Nursing home name

AUTUMN LAKE HEALTHCARE AT CROMWELL

Affiliated entity

AUTUMN LAKE HEALTHCARE

Listed as

Autumn Lake Healthcare at CromwellCCN 075263 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

175169.5 residents per day on average

Chain

Autumn Lake Healthcare59 facilities in the chain

Penalties (3 years)

1Fines totaling $10,628

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

Locations

All disclosed owners & managing parties 8

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.

• Marc N Raad, M.D.

  • Internal Medicine Physician
  • Wolcott, CT
  • NPI 1316085665

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Wilfred U Elaba, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hartford, CT
  • NPI 1538175765

  Nursing home

  Care Compare affiliation
• Marc N Raad, M.D.

  • Internal Medicine Physician
  • Wolcott, CT
  • NPI 1316085665

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1912301995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 ROUTE 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313351",
            "telephone_number": "732-358-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 MAIN ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162308",
            "telephone_number": "860-635-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROMWELL OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "ARYEH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-358-6883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Lake Healthcare At Cromwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cromwell Board of Education
• Cromwell Chiropractic Center, LLC
• Cromwell Family Dental, PC
• Cromwell Fire District
• Cromwell Markets LLC (Shoprite of Cromwell)
• Eliana Maria Cruz
• CT Men's Health, LLC
• CT Psych Now LLC
• Allison Bridget Curran, BCBA, LBA
• Kimberly J Curry, PHARMD

• Skilled Nursing Facility in Cromwell, CT
• Providers in Cromwell, 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 Apr 29, 2015; 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.