Organization Active NPI

Health Care Connectors LLC

  • Community Based Hospice Care Agency
  • Greenwich, CT
National Provider Identifier
1235908450
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HEALTH CARE CONNECTORS LLC
Practice address
1 Sound Shore Dr Ste 201
Greenwich, CT 06830-7251
Phone
(203) 489-0919
Fax
(203) 580-8334
NPI assigned
Dec 28, 2023
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Jonathan Peter Muir
Title
Ceo
Phone
(203) 489-0919

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Hospice Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH1000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Community Based Hospice Care Agency 251G00000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

1 Sound Shore Dr Ste 201
Greenwich, CT 06830-7251

Mailing address

1 Sound Shore Dr Ste 201
Greenwich, CT 06830-7251
Phone (203) 489-0919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240214002878 CT Part A Provider - Hospice 9830584549 Practice locations: Greenwich, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235908450. Details of each certification follow.

Hospice certification: CCN 071548

Legal name
HEALTH CARE CONNECTORS LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 7, 2025
Last certification
Jan 29, 2025
Organization structure
LLCProprietary
Enrollment address
1 Sound Shore Dr
Ste 201
Greenwich, CT 06830-7251

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Health Care Connectors LLCCCN 071548 · All quality measures
Certified
Feb 7, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Health Care Connectors2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Sound Shore Dr
Ste 201
Greenwich, CT 06830
Phone (203) 489-0919

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Adetutu Olomola Individual Operational/Managerial ControlAdministrator Jan 3, 2024
Rajasekhar Buddhavarapu Individual W-2 Managing EmployeeMD; Apr 4, 2025
Jonathan Muir Individual 5% Or Greater Direct Ownership InterestOwner/President/Ceo Jun 27, 2017 100%
Corporate DirectorOwner/President/Ceo Jun 27, 2017 100%
Operational/Managerial ControlOwner/President/Ceo Jun 27, 2017 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1235908450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUND SHORE DR STE 201",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068307251",
            "telephone_number": "203-489-0919",
            "fax_number": "203-580-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUND SHORE DR STE 201",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068307251",
            "telephone_number": "203-489-0919",
            "fax_number": "203-580-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE CONNECTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-489-0919"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.