Active NPI
Nurses at Home
- Home Health Agency
- Middletown, CT
National Provider Identifier
1083282644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NURSES AT HOME
- Practice address
- 1251 S Main St
Middletown, CT 06457-5050 - Phone
- (860) 346-0771
- NPI assigned
- Jun 11, 2021
- 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
- Cory Cheyne, LNHA
- Title
- Ceo
- Phone
- (860) 966-6727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1251 S Main St
Middletown, CT 06457-5050
Mailing address
1251 S Main St
Middletown, CT 06457-5050
Phone (860) 740-4144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.axxess.com/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171017001772 | CT | Part A Provider - Home Health Agency | 3678856093 |
1 other NPI on this enrollment Practice locations: Avon, CT |
Home health agency certification: CCN 077273
- Legal name
- NURSES AT HOME
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 22, 2018
- Last certification
- Oct 22, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 6, 2015 in CT
- Enrollment address
- 21 Waterville Rd
Avon, CT 06001-2097
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Nurses at Home Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 22, 2018
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2104919 | Nurses at Home, Inc | Certificate of waiver | Nov 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
16 Main St
Ste 208
Durham, CT 06422
Phone (860) 740-4144
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Cory Cheyne | 5% Or Greater Direct Ownership Interest | Sep 30, 2021 | 50% |
| Robert Wooley | 5% Or Greater Direct Ownership Interest | Sep 30, 2021 | 50% |
| W-2 Managing Employee | Sep 30, 2021 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Southington, CT
- NPI 1235361759
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1083282644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 S MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064575050",
"telephone_number": "860-740-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 S MAIN ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064575050",
"telephone_number": "860-346-0771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSES AT HOME",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "CHEYNE",
"authorized_official_first_name": "CORY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "860-966-6727",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.axxess.com/",
"affiliation": "N",
"address_1": "1251 S Main St",
"city": "Middletown",
"state": "CT",
"country_code": "US",
"postal_code": "064575050",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.