COOK WILLOW CONVALESCENT HOSPITAL, INC.
NPI 1205979457
Skilled Nursing Facility in Plymouth, CT

Active since February 15, 2007CLIA 07D0674634 · Waiver
4/5
Overall Rating
81 HILLSIDE AVE, PLYMOUTH, CT 06782(860) 283-8208(860) 283-6667 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cook Willow Convalescent Hospital, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOK WILLOW CONVALESCENT HOSPITAL, INC. (NPI 1205979457) is a healthcare organization registered as a skilled nursing facility in Plymouth, Connecticut and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Susan A. Macdonald, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205979457
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOOK WILLOW CONVALESCENT HOSPITAL, INC.
Location Address81 HILLSIDE AVEPlymouth, CT 06782-2305
Mailing Address81 Hillside AvePlymouth, CT 06782-2305 · (860) 283-8208 · Fax (860) 283-6667
Fax(860) 283-6667
Organization SubpartNo
Authorized OfficialSusan A. MacdonaldAdministrator · (860) 283-8208
Enumeration DateFebruary 15, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1205979457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CT · 932-C
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
81 HILLSIDE AVE, Plymouth, CT 06782

Other Identifiers 3

OtherV631P-3901CT · Veteran Affairs Contract
Other649CT · Anthem Bcbs
OtherIV5659CT · Healthnet Provider

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0674634

Cook Willow Convalescent Hospital, Inc · Plymouth, CT
Active · expires Aug 31, 2026
CLIA Number07D0674634
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTami Pilbin
Laboratory Phone(860) 283-8208
Laboratory LocationCook Willow Convalescent Hospital, Inc81 Hillside Ave, Plymouth, CT 06782
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Cook Willow Health & Rehabilitation Center, Inc. (CMS certification number 075349), from CMS Care Compare.

Cook Willow Health & Rehabilitation Center, Inc.

Nursing home · Plymouth, CT
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number075349
Certified Beds60 beds57 residents per day on average
Medicare & Medicaid Participant SinceNovember 1, 1991
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
26
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.06 · LPN 0.64 · RN 0.83
3.53 hrs per resident per day
Weekend Nurse Staffing
2.88 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
35.7%
Registered Nurse Turnover
33.3%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
81 HILLSIDE AVE
PLYMOUTH, CT 06782
Physical Therapist
81 HILLSIDE AVE
PLYMOUTH, CT 06782
Clinic/Center (Rehabilitation)
81 HILLSIDE AVE
PLYMOUTH, CT 06782
Non-emergency Medical Transport (VAN)
81 HILLSIDE AVE
PLYMOUTH, CT 06782

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cook Willow Convalescent Hospital, Inc.'s NPI number?

The NPI number for Cook Willow Convalescent Hospital, Inc. is 1205979457. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Cook Willow Convalescent Hospital, Inc. located?

Cook Willow Convalescent Hospital, Inc. is located at 81 Hillside Ave, Plymouth, CT 06782. The listed phone number is (860) 283-8208.

What is Cook Willow Convalescent Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Cook Willow Convalescent Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0674634) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Cook Willow Convalescent Hospital, Inc. a Medicare-certified nursing home?

Yes. Cook Willow Health & Rehabilitation Center, Inc. is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Cook Willow Convalescent Hospital, Inc. have?

CMS rates Cook Willow Health & Rehabilitation Center, Inc. 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Cook Willow Convalescent Hospital, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.