Active NPI
Connecticut Baptist Homes, Inc.
- Skilled Nursing Facility
- Meriden, CT
National Provider Identifier
1013094077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1023-C
- Legal business name
- CONNECTICUT BAPTIST HOMES, INC.
- Practice address
- 292 Thorpe Ave
Meriden, CT 06450-8309 - Phone
- (203) 237-1206
- Fax
- (203) 639-5900
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patricia Morse
- Title
- President
- Phone
- (203) 237-1206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1023-C | CT | Primary |
Addresses
Primary practice location
292 Thorpe Ave
Meriden, CT 06450-8309
Mailing address
292 Thorpe Ave
Meriden, CT 06450-8309
Phone (203) 237-1206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023-C | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150316000676 | CT | Part A Provider - Skilled Nursing Facility | 6103090576 | Practice locations: Meriden, CT |
Skilled nursing facility certification: CCN 075352
- Legal name
- CONNECTICUT BAPTIST HOMES, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1991
- Last certification
- Jul 8, 2024
- Beds
- 60
- Ownership / control type
- Church Related
- Multi-facility organization
- Connecticut Baptist Homes, Inc
- Organization structure
- Corporation
- Incorporated
- May 11, 1992 in CT
- Enrollment address
- 292 Thorpe Ave
Meriden, CT 06450-8309 - Nursing home name
- CONNECTICUT BAPTIST HOMES, INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Connecticut Baptist Homes, Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Oct 1, 1991
- Medicare certification status
- Active
- Certified beds
- 60
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Harry L Riggs | Corporate Director | Sep 30, 2020 | |
| Margaret D Lewis | Corporate Director | Sep 30, 2020 | |
| Marcia Sarrazin | Corporate Director | Sep 30, 2020 | |
| Hopeton Scott | Corporate Director | Sep 30, 2020 | |
| Richard J Doyle | Corporate Director | Sep 30, 2020 | |
| Sandra Stevens | Corporate Director | Sep 30, 2020 | |
| Robert Avena | Corporate Director | Sep 30, 2020 | |
| William R McMunn | Corporate Director | Sep 30, 2020 | |
| Mary Patricia Morse | Corporate Officer | Aug 5, 2005 | |
| Corporate Director | Aug 5, 2005 | ||
| W-2 Managing Employee | Aug 5, 2005 | ||
| Peter C Young | Corporate Director | Sep 30, 2020 | |
| David Stevens | Corporate Director | Sep 30, 2020 | |
| David C Jones | Corporate Director | Sep 30, 2020 |
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": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013094077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 THORPE AVE",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064508309",
"telephone_number": "203-237-1206",
"fax_number": "203-639-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 THORPE AVE",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064508309",
"telephone_number": "203-237-1206",
"fax_number": "203-639-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECTICUT BAPTIST HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MORSE",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-237-1206",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "1023-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023-C",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meriden, CT
- Community Residences, Inc.
- Complete Care at Meriden LLC
- Comprehensive Dialysis Care LLC
- Comprehensive Orthopedics & Musculoskeletal Care LLC
- Janet Marie Conklin, RDH
- Connecticut Baptist Homes, Inc.
- Connecticut Counseling Centers Inc
- Connecticut Counseling Centers Inc
- Connecticut Counseling Centers, Inc
- Connecticut Counseling Centers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.