NPIMap

Organization Active NPI

Home Care Vna, LLC

  • Home Health Agency
  • Hartford, CT
National Provider Identifier
1033513056
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME CARE VNA, LLC
Practice address
33O Main Street 3Rd Fl00R Suite C-3
Hartford, CT 06106-1851
Phone
(978) 726-8563
Fax
(186) 688-6118
NPI assigned
Oct 20, 2014
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Mr. Constant Oduor Ogutt, RN
Title
Owner
Phone
(978) 726-8563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

33O Main Street 3Rd Fl00R Suite C-3
Hartford, CT 06106-1851

Mailing address

33O Main Street 3Rd Fl00R Suite C-3
Hartford, CT 06106-1851
Phone (978) 726-8563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170916000642 CT Part A Provider - Home Health Agency 9436423399 Practice locations: Hartford, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033513056. Details of each certification follow.

Home health agency certification: CCN 077272

Legal name
HOME CARE VNA LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 18, 2018
Last certification
Apr 18, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 14, 2014 in CT
Enrollment address
330 Main St
Ste C-3
Hartford, CT 06106-1860
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Care Vna LLLCCCN 077272 · All quality measures
Ownership
Proprietary
Certified
Apr 18, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

33 Main St
Fl 3
Hartford, CT 06106
Phone (978) 726-8563

330 Main St
Ste C3
Hartford, CT 06106
Phone (860) 206-9942

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Constant O Ogutt Individual 5% Or Greater Direct Ownership Interest Sep 21, 2017 50%
Corporate DirectorOwner Sep 21, 2017 50%
Shakira Z Lubega Individual 5% Or Greater Direct Ownership Interest Sep 21, 2017 50%
Corporate DirectorOwner Sep 21, 2017 50%
Rita Hurley Individual W-2 Managing EmployeeAdministrator Sep 21, 2017

Practitioners & affiliated clinicians

Practitioners 1

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": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1033513056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33O MAIN STREET 3RD FL00R SUITE C-3",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061851",
            "telephone_number": "978-726-8563",
            "fax_number": "186-688-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33O MAIN STREET 3RD FL00R SUITE C-3",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061851",
            "telephone_number": "978-726-8563",
            "fax_number": "186-688-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE VNA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "OGUTT",
        "authorized_official_first_name": "CONSTANT",
        "authorized_official_middle_name": "ODUOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-726-8563",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.