Organization Active NPI

Gray Ventures, LLC

Doing business as Comfort Keepers

  • In Home Supportive Care Agency
  • Wallingford, CT
National Provider Identifier
1053999300
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRAY VENTURES, LLC
Doing business as
Comfort Keepers
Practice address
669 Center St Ste 2
Wallingford, CT 06492-3831
Phone
(203) 697-1030
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Garrett Sullivan
Title
Owner
Phone
(203) 453-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

669 Center St Ste 2
Wallingford, CT 06492-3831

Mailing address

669 Center St Ste 2
Wallingford, CT 06492-3831
Phone (203) 697-1030

Other names 1

  • Comfort Keepers Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address garrettsullivan@comfortkeepers.com Direct

National Provider Directory

National Provider Directory

Locations

669 Center St
Ste 2
Wallingford, CT 06492
Phone (203) 697-1030

80 S Main St
Wallingford, CT 06492

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1053999300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 CENTER ST STE 2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923831",
            "telephone_number": "203-697-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 CENTER ST STE 2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923831",
            "telephone_number": "203-697-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-453-2100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "garrettsullivan@comfortkeepers.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "669 Center St Ste 2",
            "city": "Wallingford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064923831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.