Organization Active NPI

Liberty Hall Nursing Center Inc

Doing business as Apple Rehab Colchester

  • Skilled Nursing Facility
  • Colchester, CT
National Provider Identifier
1962581199
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1090-C Issued in CT
Legal business name
LIBERTY HALL NURSING CENTER INC
Doing business as
Apple Rehab Colchester
Practice address
36 Broadway St
Colchester, CT 06415-1002
Phone
(860) 537-4606
Fax
(860) 537-7007
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Mr. Ryan A Vess
Title
Cfo, Apple Health Care, Inc.
Phone
(860) 678-9755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1090-C CT Primary

Addresses

Primary practice location

36 Broadway St
Colchester, CT 06415-1002

Mailing address

36 Broadway St
Colchester, CT 06415-1002
Phone (860) 537-4606

Other identifiers 1

IdentifierTypeStateIssuer
000010900MedicaidCT

Other names 1

  • Apple Rehab Colchester Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170220001563 CT Part A Provider - Skilled Nursing Facility 2163705013 Practice locations: Colchester, CT

Skilled nursing facility certification: CCN 075231

Legal name
LIBERTY HALL NURSING CENTER INC
Doing business as
APPLE REHAB COLCHESTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 10, 1974
Last certification
May 16, 2023
Beds
60
Ownership / control type
Corporation
Multi-facility organization
Apple
Organization structure
CorporationProprietary
Incorporated
Oct 1, 1985 in CT
Enrollment address
36 Broadway St
Colchester, CT 06415-1002
Nursing home name
APPLE REHAB COLCHESTER
Affiliated entity
APPLE REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Apple Rehab ColchesterCCN 075231 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 10, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6054.4 residents per day on average
Chain
Apple Rehab20 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $41,203

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0096182Apple Rehab Colchester36 Broadway Rd, Colchester, CT 06415Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

35 Bunker Hill Rd
Watertown, CT 06795
Phone (860) 274-5428

Ownership & 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.

NameRoleSinceShare
Apple Health Care, Inc. Organization, Avon, CT Corporation Operational/Managerial Control Oct 1, 1985 49%
Lisa a Ryan Individual W-2 Managing EmployeeAdministrator Jan 1, 2016 100%
Ryan a Vess Individual Corporate OfficerCfo Mar 15, 2013
Corporate DirectorCfo Mar 15, 2013
Brendan E Foley Individual Corporate OfficerCoo Apr 13, 2015
Corporate DirectorCoo Apr 13, 2015
Brian J. Foley Individual 5% Or Greater Direct Ownership Interest Oct 1, 1985 100%
5% Or Greater Mortgage Interest Oct 1, 1985 100%
Corporate OfficerPresident Oct 1, 1985 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1962581199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151002",
            "telephone_number": "860-537-4606",
            "fax_number": "860-537-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151002",
            "telephone_number": "860-537-4606",
            "fax_number": "860-537-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HALL NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "VESS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO, APPLE HEALTH CARE, INC.",
        "authorized_official_telephone_number": "860-678-9755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "1090-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010900",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Rehab Colchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colchester, CT

Sources for this page

Verify at the official NPI Registry.