Town of Berlin Office of the Treasu Rer

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

C-804010 Issued in CT

Legal business name

TOWN OF BERLIN OFFICE OF THE TREASU RER

Practice address

240 Kensington Rd
Ste 12
Berlin, CT 06037-2655

Phone

(860) 828-7030

Fax

(860) 828-7420

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Linda Colella

Title

Administrator

Phone

(860) 828-7030

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Home health agency certification: CCN 077020

Legal name

TOWN OF BERLIN OFFICE OF THE TREASU RER

Doing business as

BERLIN VNA

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 1, 1966

Last certification

Jun 11, 2019

Ownership / control type

Non-Profit

Organization structure

OtherNon-profit

Enrollment address

240 Kensington Rd
Berlin, CT 06037-2655
HHA Branch

Listed as

Berlin Visiting Nurse AssociationCCN 077020

Overall star rating

4 of 5

Ownership

Non-Profit

Certified

Jul 1, 1966

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Affiliated clinicians 2

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

• Mark A Piekarsky, M.D.

  • Internal Medicine Physician
  • New Britain, CT
  • NPI 1558355792

  Home health agency

  Care Compare affiliation
• Scott John Walker, M.D.

  • Internal Medicine Physician
  • Wethersfield, CT
  • NPI 1801085618

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1124021928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 KENSINGTON RD",
            "address_2": "STE 12",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372655",
            "telephone_number": "860-828-7030",
            "fax_number": "860-828-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 KENSINGTON RD",
            "address_2": "STE 12",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372655",
            "telephone_number": "860-828-7030",
            "fax_number": "860-828-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BERLIN OFFICE OF THE TREASU RER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "COLELLA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-828-7030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "C-804010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD HEALTH",
            "identifier": "702016-01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "782127",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A785612",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "702016",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "60-00077",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Berlin, CT
• Providers in Berlin, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.

Verify at the official NPI Registry.