NPIMap

Organization Active NPI

Generations Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Putnam, CT
National Provider Identifier
1023345089
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GENERATIONS FAMILY HEALTH CENTER INC.
Practice address
202 Pomfret St
Putnam, CT 06260-1833
Phone
(860) 963-7917
NPI assigned
Nov 12, 2009
Last updated
Mar 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
GENERATIONS FAMILY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Ms. Debra Savoie
Title
Cfo
Phone
(860) 456-6271

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X CT Primary
Health Service Clinic/Center 261QH0100X CT
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

202 Pomfret St
Putnam, CT 06260-1833

Mailing address

40 Mansfield Ave
Willimantic, CT 06226-2018
Phone (860) 450-7471

Other identifiers 3

IdentifierTypeStateIssuer
004235687MedicaidCT
008003942MedicaidCT
004235695MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100112000092 CT Part A Provider - Federally Qualified Health Center (FQHC) 4880640630 Practice locations: Putnam, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023345089. Details of each certification follow.

Federally qualified health center certification: CCN 071863

Legal name
GENERATIONS FAMILY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 2, 2010
Last certification
Mar 2, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 12, 1991 in CT
Enrollment address
202 Pomfret St
Putnam, CT 62601833

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Healthfirst Inc3 organizations share this tax ID, including this one
Part of
Healthfirst Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

40 Mansfield Ave
Willimantic, CT 06226
Phone (860) 450-7471

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nancy Hinchey Individual Corporate Director Jul 26, 2012
Giselle Lopez Individual Corporate Director Jun 2, 2022
Michael Bolton Individual Corporate Director Oct 25, 2012
Dina Dufort Individual Corporate Director Jun 3, 2021
Cherie Poirier Individual Corporate Director Sep 25, 2014
April Burke Individual Corporate Director Apr 5, 2018
Nelson Walker Individual Corporate OfficerSecretary Nov 20, 2014
Debra Savoie Individual W-2 Managing EmployeeChief Financial Officer Nov 16, 2009
Melissa Meyers Individual Corporate DirectorChief Executive Officer Jan 3, 2023
Argentina Perez Individual Corporate Director Jan 28, 2016
Selma N. Ward Individual Corporate OfficerChairperson Apr 27, 2017
Emmanuel Perez Deayala Individual Corporate OfficerVice Chair Person Mar 7, 2019
Beth Ober Individual Corporate Director Oct 28, 2010
Joan Marshall Individual Corporate Director May 5, 2022

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1023345089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262018",
            "telephone_number": "860-450-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601833",
            "telephone_number": "860-963-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS FAMILY HEALTH CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENERATIONS FAMILY HEALTH CENTER, INC.",
        "enumeration_date": "2009-11-12",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "SAVOIE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-456-6271",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235687",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008003942",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235695",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

Verify at the official NPI Registry.