Active NPI
98 Starr Farm Road Operating Company, LLC
Doing business as Elderwood at Burlington
- Skilled Nursing Facility
- Burlington, VT
National Provider Identifier
1932689882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 98 STARR FARM ROAD OPERATING COMPANY, LLC
- Doing business as
- Elderwood at Burlington
- Practice address
- 98 Starr Farm Rd
Burlington, VT 05408-1323 - Phone
- (802) 658-6717
- NPI assigned
- Aug 20, 2018
- Last updated
- Jan 19, 2023
- 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
- Dr. Jeffrey Rubin
- Title
- Co-Chief Executive Officer
- Phone
- (716) 817-5075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
98 Starr Farm Rd
Burlington, VT 05408-1323
Mailing address
500 Seneca St Ste 100
Buffalo, NY 14204-1963
Phone (716) 633-3900
Other names 1
- Elderwood at Burlington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190102003103 | VT | Part A Provider - Skilled Nursing Facility | 2860737327 | Practice locations: Burlington, VT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1932689882. Details of each certification follow.
Skilled nursing facility certification: CCN 475030
- Legal name
- 98 STARR FARM ROAD OPERATING COMPANY, LLC
- Doing business as
- ELDERWOOD AT BURLINGTON
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 17, 1987
- Last certification
- Apr 2, 2025
- Beds
- 150
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Mar 22, 2018 in DE
- Enrollment address
- 98 Starr Farm Rd
Burlington, VT 05408-1323 - Nursing home name
- ELDERWOOD AT BURLINGTON
- Affiliated entity
- ELDERWOOD
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Elderwood at Burlington
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 17, 1987
- Medicare certification status
- Active
- Certified beds
- 150
- Chain
- Elderwood
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Megan E Marama | W-2 Managing Employee | Jan 19, 2022 | |
| Philip Quillard | Corporate Officer | Dec 17, 2018 | |
| Operational/Managerial Control | Dec 17, 2018 | ||
| 98 Starr Farm Road Operating Holdco LLC | 5% Or Greater Direct Ownership Interest | Dec 17, 2018 | 100% |
| Jeffrey Rubin | 5% Or Greater Indirect Ownership Interest | Dec 17, 2018 | 50% |
| Corporate Officer | Dec 17, 2018 | 50% | |
| Operational/Managerial Control | Dec 17, 2018 | 50% | |
| Warren D Cole | 5% Or Greater Indirect Ownership Interest | Dec 17, 2018 | 50% |
| Corporate Officer | Dec 17, 2018 | 50% | |
| Operational/Managerial Control | Dec 17, 2018 | 50% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Franconia, NH
- NPI 1093816761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674086400000",
"number": "1932689882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SENECA ST STE 100",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142041963",
"telephone_number": "716-633-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 STARR FARM RD",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054081323",
"telephone_number": "802-658-6717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "98 STARR FARM ROAD OPERATING COMPANY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-20",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CO-CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "716-817-5075",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elderwood at Burlington",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.