Middlesex Hospital
Organization Active NPI Home Health Agency · Middletown, CT
NPI 1194781328 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1194781328
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 07-7086A (CT)
- Legal business name
- MIDDLESEX HOSPITAL
- Practice address
- 117 Main Street Ext
Middletown, CT 06457-3849 - Phone
- (860) 358-5600
- Fax
- (860) 358-5723
- NPI assigned
- Apr 25, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MIDDLESEX HOSPITAL
Authorized official
- Name
- Vinnie Capece
- Title
- Ceo
- Phone
- (860) 358-6110
Owners & managing parties with NPI records 9
-
Elizabeth Case, MD
-
Jonathan D Levine, M.D.
-
Mark David Lorenze, M.D.
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 15
Practitioners 231
-
Courtney Paige Ackley, LCSW
-
James K Ahern, M.D.
-
Jacqueline Mary Atkinson, PA-C
-
Ursula Violet Bailey, M.D.
-
Setareh Libot Balazadeh, M.D.
-
Koral Ben-Simon, APRN
-
Todd M Bishop, DO
-
Marissa Brennan, PA-C
-
Sean M. Caffyn, DO
-
Michelle Cardona, M.D., M.P.H.
-
Alison Carini, DO
-
Elizabeth Case, MD
-
Justin Caskey, DO
-
Jason Cassese, LCSW
-
Santiago Castro, DO
Affiliated clinicians 76
-
Jill M Banatoski, MD
-
Lee Bloom, M.D.
-
Susan Buchek, MD
-
Zachary Cavanaugh, M.D.
-
Elin L Christensen, M.D.
-
Laina Jean Cross, MSN
-
Nicole L Davis, PA-C
-
Catherine Mary Demers, APRN
-
Elizabeth Lynn Dmowski, APRN
-
Alyssa Ann Duperry, APRN
-
Helen Ede, M.D.
-
Sarah B Fortin, M.D.
-
Ana Mariel Garcia, D.O.
-
Juliette Nedah Harris, M.D.
-
Daniel A Henriquez, M.D.
-
David Jeremy Hergan, M.D.
-
Susanna Hong, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Middlesex Health Care at Home and Hospice Program
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Non-Profit
- Certified
- Jul 1, 1966
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT
Home health agency certification: CCN 077086A
- Legal name
- MIDDLESEX HOSPITAL
- Doing business as
- MIDDLESEX HEALTH CARE AT HOME
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 26, 1895 in CT
- Enrollment address
- 117 Main St
Middletown, CT 06457-3429
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Vincent G Capece |
Corporate Officer |
Aug 12, 2019 | |
| Corporate Director | Aug 12, 2019 | ||
| W-2 Managing Employee | Aug 12, 2019 | ||
| Gary M Wallace |
Corporate Director | Aug 12, 2019 | |
| Christine H Repasy |
Corporate Director | Aug 12, 2019 | |
| Robert C Hinton |
Corporate Director | Aug 12, 2019 | |
| Mark D Lorenze |
Corporate Officer |
Aug 12, 2019 | |
| Corporate Director | Aug 12, 2019 | ||
| Elizabeth L Case |
W-2 Managing Employee |
Jul 15, 2020 | |
| Chandler J. Howard |
Corporate Officer |
Aug 12, 2019 | |
| Corporate Director | Aug 12, 2019 | ||
| Mark S Bertolami |
Corporate Director | Mar 5, 2021 | |
| Elizabeth G Judd |
Corporate Director | Sep 10, 2025 | |
| Middlesex Hospital |
Operational/Managerial Control | Feb 9, 1997 | |
| David C Benoit |
Corporate Director | Aug 12, 2019 | |
| Susan M Martin |
Corporate Officer |
Aug 12, 2019 | |
| Corporate Director | Aug 12, 2019 | ||
| W-2 Managing Employee | Aug 12, 2019 | ||
| Jonathan D Levine |
Corporate Officer |
Aug 12, 2019 | |
| Corporate Director | Aug 12, 2019 | ||
| John J Gauthier |
Corporate Director | Aug 12, 2019 | |
| Jean M. D'Aquila |
Corporate Director | Aug 12, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061215000104 | CT | Part a Provider - Home Health Agency | 5092611731 | Practice locations: Middletown, CT; Old Saybrook, CT |
| O20070502000042 | CT | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092611731 | Practice locations: Middletown, CT |
National Provider Directory
- Tax ID family
- Middlesex Hospital Dba Middlesex Hospital Physician Services
- Part of
- Middlesex Hospital Dba Middlesex Hospital Physician Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 07-7086A | CT | Yes |
| Home Health Aide |
374U00000X | 07-7086A | CT |
Addresses
Primary practice location
117 Main Street Ext
Middletown, CT 06457-3849
Mailing address
770 Saybrook Rd
Middletown, CT 06457-4739
Phone (860) 358-5600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004074373 | Other | CT | AGENCY/AGING SOUTHCENTRAL |
Other names
- Middlesex Hospital Homecare
- Middlesex Hospital dba Middlesex Homecare
Other providers in Middletown, CT
- Middlesex Health Services, Inc.
- Middlesex Heart Institute
- Middlesex Hosp Dba Thoracic Surg/OBGYN Onocology
- Middlesex Hospital
- Middlesex Hospital
- Middlesex Hospital
- Middlesex Hospital
- Middlesex Hospital
- Middlesex Hospital
- Middlesex Hospital
All providers in Middletown, CT · Home Health Agency in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.