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SOUTHPORT CENTER FOR NURSING & REHABILITATION, LLC
NPI 1386210755
Skilled Nursing Facility in Southport, CT

Active since May 27, 2021CLIA 07D0097894 · Waiver
1/5
Overall Rating
930 MILL HILL TER, SOUTHPORT, CT 06890(203) 259-7894 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southport Center For Nursing & Rehabilitation, Llc NPPES

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

SOUTHPORT CENTER FOR NURSING & REHABILITATION, LLC (NPI 1386210755) is a healthcare organization registered as a skilled nursing facility in Southport, Connecticut and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Menajem Salamon, Principal, as its authorized official.

NPPES Registry Identity

NPI1386210755
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTHPORT CENTER FOR NURSING & REHABILITATION, LLC
Location Address930 MILL HILL TERSouthport, CT 06890-1265
Mailing Address930 Mill Hill TerSouthport, CT 06890-1265 · (203) 259-7894
Phone(203) 259-7894
Organization SubpartNo
Authorized OfficialMenajem SalamonPrincipal · (718) 882-6400
Enumeration DateMay 27, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1386210755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
930 MILL HILL TER, Southport, CT 06890
Open in Google Maps ↗

Other Identifiers 1

Medicaid000008508CT

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 07D0097894

Southport Center For Nursing And Rehabilitation · Southport, CT
Active · expires Sep 17, 2027
CLIA Number07D0097894
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorDr. George Goldfarb
Laboratory Phone(203) 259-7894
Laboratory LocationSouthport Center For Nursing And Rehabilitation930 Mill Hill Ter, Southport, CT 06890
CLIA data matches this NPI record on: Address 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 Southport Center For Nursing & Rehabilitation LLC (CMS certification number 075200), from CMS Care Compare.

Southport Center For Nursing & Rehabilitation LLC

Nursing home · Southport, CT
1/5 CMS Overall Rating
OwnershipFor profit - Individual
CMS Certification Number075200
Certified Beds120 beds116 residents per day on average
Medicare & Medicaid Participant SinceJune 1, 1977
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
84.67
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 2.12 · LPN 0.78 · RN 0.76
3.66 hrs per resident per day
Weekend Nurse Staffing
3.21 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
21.9%
Registered Nurse Turnover
21.7%
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
1
Fines
1 totaling $8,648.25
Medicare Payment Denials
0
Total Penalties
1
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 2

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

INTEGRATED WOUND CARE CONNECTICUT PLLC
General Practice
930 MILL HILL TER
SOUTHPORT, CT 06890
Greater Bridgeport Planning Region (718) 705-6010
FAIRVIEW HEALTH OF SOUTHPORT, LLC
Skilled Nursing Facility
930 MILL HILL TER
SOUTHPORT, CT 06890
Greater Bridgeport Planning Region (203) 259-7894

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 Southport Center For Nursing & Rehabilitation, LLC's NPI number?

The NPI number for Southport Center For Nursing & Rehabilitation, LLC is 1386210755. It was assigned to this organization in the NPPES registry on May 27, 2021.

Where is Southport Center For Nursing & Rehabilitation, LLC located?

Southport Center For Nursing & Rehabilitation, LLC is located at 930 Mill Hill Ter, Southport, CT 06890. The listed phone number is (203) 259-7894.

What is Southport Center For Nursing & Rehabilitation, LLC's specialty?

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

Does Southport Center For Nursing & Rehabilitation, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0097894) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Southport Center For Nursing & Rehabilitation, LLC a Medicare-certified nursing home?

Yes. Southport Center For Nursing & Rehabilitation LLC is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Southport Center For Nursing & Rehabilitation, LLC have?

CMS rates Southport Center For Nursing & Rehabilitation LLC 1 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 Southport Center For Nursing & Rehabilitation, LLC was last updated on May 27, 2021. 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.