Plainville Health Care Center Inc.
Organization Active NPI Skilled Nursing Facility · Plainville, CT
NPI 1992874135 · NPPES record last updated Feb 15, 2017
Key facts
- NPI
- 1992874135
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2029-C (CT)
- Legal business name
- PLAINVILLE HEALTH CARE CENTER INC.
- Practice address
- 269 Farmington Ave
Plainville, CT 06062-1335 - Phone
- (860) 747-1637
- Fax
- (860) 747-9757
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Ryan Vess
- Title
- Cfo
- Phone
- (860) 678-9755
Affiliated clinicians 2
-
Syed Ali, M.D.
-
Craig M Bogdanski, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Apple Rehab Farmington Valley
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 30, 1982
- Medicare certification status
- Active
- Certified beds
- 160 · 132.2 residents per day on average
- Chain
- Apple Rehab
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0662866 | Apple Rehab Farmington Valley | Certificate of waiver | Jan 18, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Skilled nursing facility certification: CCN 075044
- Legal name
- PLAINVILLE HEALTH CARE CENTER INC.
- Doing business as
- APPLE REHAB FARMINGTON VALLEY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 30, 1982
- Last certification
- Mar 8, 2023
- Beds
- 160
- Ownership / control type
- Corporation
- Multi-facility organization
- APPLE REHAB
- Organization structure
- Corporation · Proprietary
- Incorporated
- Feb 1, 1988 in CT
- Enrollment address
- 269 Farmington Ave
Plainville, CT 06062-1335 - Nursing home name
- APPLE REHAB FARMINGTON VALLEY
- Affiliated entity
- APPLE REHAB
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Devika Singh |
W-2 Managing Employee | Sep 10, 2018 | |
| Ryan a Vess |
Corporate Officer |
Mar 15, 2013 | |
| Corporate Director |
Mar 15, 2013 | ||
| Operational/Managerial Control |
Mar 15, 2013 | ||
| Brian J. Foley |
5% Or Greater Direct Ownership Interest | Feb 1, 1988 | 100% |
| Corporate Director |
Nov 1, 2004 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040804001390 | CT | Part a Provider - Skilled Nursing Facility | 2163493966 | Practice locations: Plainville, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2029-C | CT | Yes |
Addresses
Primary practice location
269 Farmington Ave
Plainville, CT 06062-1335
Mailing address
269 Farmington Ave
Plainville, CT 06062-1335
Phone (860) 747-1637
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000020298 | Medicaid | CT |
Other providers in Plainville, CT
- Plainville Chiropractic LLC
- Plainville Community Pharmacy LLC
- Plainville Community Schools
- Plainville Dental Associates LLC
- Plainville Dental PLLC
- Plainville Optical
- Plainville Optometrics LLC
- Amy Jo Podgorski
- Jessica Jean Polesel
- Alma Harward Pollock
All providers in Plainville, CT · Skilled Nursing Facility in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.