NPIMap

Organization Active NPI

Visiting Nurse Association of Southeastern Connecticut

  • Home Health Agency
  • Waterford, CT
National Provider Identifier
1265490940
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
81671 Issued in CT
Legal business name
VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT
Practice address
403 N Frontage Rd
Waterford, CT 06385-4349
Phone
(860) 444-1111
Fax
(860) 440-1156
NPI assigned
May 3, 2006
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Ms. Mary Lenzini
Title
President
Phone
(860) 444-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 81671 CT Primary

Addresses

Primary practice location

403 N Frontage Rd
Waterford, CT 06385-4349

Mailing address

403 N Frontage Rd
Waterford, CT 06385-4349
Phone (860) 444-1111

Other identifiers 3

IdentifierTypeStateIssuer
207000172OtherCTBUSINESS PARTNER ID
004042511MedicaidCT
616OtherANTHEM BC BS PROVIDER ID

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100319000252 CT Part A Provider - Home Health Agency 4880729540 Practice locations: Waterford, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265490940. Details of each certification follow.

Home health agency certification: CCN 077015

Legal name
VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Feb 4, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Feb 24, 1930 in CT
Enrollment address
403 N Frontage Rd
Waterford, CT 06385-4364
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Yale New Haven Health - Health at Home SoutheastCCN 077015 · All quality measures
Overall star rating
3 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

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
07D0095545Visiting Nurse Association of Southeastern CT403 North Frontage Road, Waterford, CT 06385Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

403 N Frontage Rd
Waterford, CT 06385
Phone (860) 444-1111

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Cynthia Gibbons Individual Corporate DirectorDirector of Finance Jan 1, 2024 5%
W-2 Managing EmployeeDirector of Finance Jan 1, 2024 5%
Operational/Managerial Control Jan 1, 2024
Karen Desantis Individual W-2 Managing EmployeeAd; May 1, 2022
William J Aseltyne Individual Corporate DirectorSecretary Oct 1, 2024
Yale-New Haven Health Services Corporation Organization, New Haven, CT Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 8, 2016 100%
Thomas J Balcezak Individual Corporate OfficerPresident and Chair Oct 1, 2024
Yale New Haven Health Comprehensive Care Network, Inc. Organization, New Haven, CT Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2024 100%
Gail Kosyla Individual Corporate OfficerTreasurer Oct 1, 2024

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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 85

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

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1265490940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N FRONTAGE RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854349",
            "telephone_number": "860-444-1111",
            "fax_number": "860-440-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N FRONTAGE RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854349",
            "telephone_number": "860-444-1111",
            "fax_number": "860-440-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "LENZINI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-444-1111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "81671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS PARTNER ID",
            "identifier": "207000172",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004042511",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS PROVIDER ID",
            "identifier": "616",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.