NPIMap

Organization Active NPI

Franciscan Family Care Center, Inc.

  • Home Health Agency
  • Meriden, CT
National Provider Identifier
1083613798
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
C87714 Issued in CT
Legal business name
FRANCISCAN FAMILY CARE CENTER, INC.
Practice address
267 Finch Ave
Meriden, CT 06451-2715
Phone
(203) 238-1441
Fax
(203) 686-0807
NPI assigned
Jul 15, 2005
Last updated
Jan 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Sister Suzanne Gross, F.S.E.
Title
Administrator
Phone
(203) 238-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X C87714 CT Primary

Addresses

Primary practice location

267 Finch Ave
Meriden, CT 06451-2715

Mailing address

267 Finch Ave
Meriden, CT 06451-2715
Phone (203) 238-1441

Other identifiers 1

IdentifierTypeStateIssuer
004071577MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100323000191 CT Part A Provider - Home Health Agency 8820123375 Practice locations: Meriden, CT
O20100325000386 CT Part A Provider - Hospice 8820123375 Practice locations: Meriden, CT

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1083613798. Details of each certification follow.

Home health agency certification: CCN 077173

Legal name
FRANCISCAN FAMILY CARE CENTER, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 5, 1987
Last certification
Dec 21, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Nov 6, 1987 in CT
Enrollment address
267 Finch Avenue
Franciscan Home Care and Hospice Care
Meriden, CT 06451-2715
HHA Branch

Hospice certification: CCN 071530

Legal name
FRANCISCAN FAMILY CARE CENTER, INC
Doing business as
FRANCISCAN HOME CARE AND HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 18, 1996
Last certification
Oct 6, 2021
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Enrollment address
267 Finch Ave
Meriden, CT 06451-2715

Care Compare: Home health agency

Medicare Care Compare
Listed as
Franciscan Home Care and Hospice CareCCN 077173 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Jun 5, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Franciscan Family Care Center,CCN 071530 · All quality measures
Ownership
Non-Profit
Certified
Oct 18, 1996
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0880447Franciscan Home Care & Hospice Care267 Finch Ave, Meriden, CT 06451Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory

Locations

267 Finch Ave
Meriden, CT 06451
Phone (203) 238-1441

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Barbara a. Johnson Individual Corporate Officer Jul 16, 2011
Corporate Director Feb 24, 2010
Corporate Officer Jul 17, 2017
Marie Laffin Individual Other Feb 24, 2010
Operational/Managerial Control Jun 9, 2008
Mary Richards Individual Corporate OfficerTreasurer Sep 30, 2017
Suzanne Gross Individual Corporate Director Feb 24, 2010
Operational/Managerial Control Feb 24, 2010
Contracted Managing EmployeeAd; Feb 24, 2010
OtherAdministrator Feb 24, 2010 100%
Dorothy Seiferman Individual Corporate Director Sep 30, 2017
Corporate Officer Jul 17, 2017
Audrey S Lefkowitz Individual Contracted Managing EmployeeMD; Oct 1, 2016
W-2 Managing EmployeeMD; Oct 1, 2016

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 18

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1083613798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 FINCH AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512715",
            "telephone_number": "203-238-1441",
            "fax_number": "203-686-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 FINCH AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512715",
            "telephone_number": "203-238-1441",
            "fax_number": "203-686-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN FAMILY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "SISTER SUZANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-238-1441",
        "authorized_official_credential": "F.S.E."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "C87714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004071577",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.