SB Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SB OPCO LLC

Practice address

72 Salmon Brook Dr
Glastonbury, CT 06033-2131

Phone

(860) 633-5244

NPI assigned

Mar 12, 2019

Last updated

Mar 14, 2019By 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

Eli Elefant

Title

Manager

Phone

(732) 961-8432

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 1952869620. Details of each certification follow.

• CCN 075060 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075060

Legal name

SB OPCO LLC

Doing business as

SALMON BROOK REHAB AND NURSING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Jun 8, 2023

Beds

130

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

72 Salmon Brook Dr
Glastonbury, CT 06033-2131

Nursing home name

CIVITA CARE CENTER AT SALMON BROOK

Listed as

Civita Care Center at Salmon BrookCCN 075060 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

130112.0 residents per day on average

Penalties (3 years)

2Fines totaling $24,164

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 3

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

Facilities with the same owner 2

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

• 88 Clark Operating LLC

  dba New London Sub Acute and Nursing

  • Skilled Nursing Facility
  • Waterford, CT
  • NPI 1275069221

  Mirlis Children Trust

  CMS ownership
• 93 W Main Operating LLC

  dba Norwich Sub-Acute and Nursing

  • Skilled Nursing Facility
  • Norwich, CT
  • NPI 1902332950

  Mirlis Children Trust

  CMS ownership

Affiliated clinicians 1

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

• Alina R. Alfirii, MD

  • Internal Medicine Physician
  • Hamden, CT
  • NPI 1487687570

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1952869620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SALMON BROOK DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SALMON BROOK DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332131",
            "telephone_number": "860-633-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "ELEFANT",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-961-8432"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mortali Counseling Services LLC
• Mark W Sarault, ATC,AT/L
• Peter Gerard Savidge, PT
• Joanna Sawicki
• Jeffrey A. Sawyer, M.D.
• Rachel A Schaaff, BCBA
• Elizabeth Holly Schaff, PSYD
• Suzette Schand
• Kristine Schlichting
• Alina Marie Schneider, APRN

• Skilled Nursing Facility in Glastonbury, CT
• Providers in Glastonbury, 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 Mar 14, 2019; 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.