Active NPI
Prospect Waterbury Home Health, Inc.
Doing business as VNA Health at Home
- Home Health Agency
- Watertown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PROSPECT WATERBURY HOME HEALTH, INC.
- Doing business as
- VNA Health at Home
- Practice address
- 365 Main St Ste 3a
Watertown, CT 06795-2249 - Phone
- (860) 274-7531
- NPI assigned
- May 27, 2016
- Last updated
- Oct 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Jon Elders
- Title
- Secretary
- Phone
- (714) 788-1249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
365 Main St Ste 3a
Watertown, CT 06795-2249
Mailing address
365 Main St Ste 3a
Watertown, CT 06795-2249
Phone (860) 274-7531
Other names 2
- VNA Health at Home
- VNA at Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160809003352 | CT | Part A Provider - Home Health Agency | 9133413446 | Practice locations: Watertown, CT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1265880413. Details of each certification follow.
Home health agency certification: CCN 077085
- Legal name
- PROSPECT WATERBURY HOME HEALTH INC
- Doing business as
- VNA HEALTH AT HOME INCORPORATED
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 1, 1966
- Last certification
- Oct 23, 2018
- Ownership / control type
- Non-Profit
- Most recent change of ownership
- Mar 1, 2026
- Organization structure
- Corporation
- Incorporated
- Apr 8, 2016 in CT
- Enrollment address
- 365 Main St
Ste 3a
Watertown, CT 06795-2249
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Uconn Health Community Network Home Health, Inc.
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Jul 1, 1966
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
27 Siemon Company Dr
Ste 101
Watertown, CT 06795
Phone (860) 274-7531
365 Main St
Ste 3A
Watertown, CT 06795
Phone (860) 274-7531
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Sang Bum Lee | 5% Or Greater Indirect Ownership Interest | Oct 1, 2016 | 66.67% |
| Corporate Officer | Oct 1, 2016 | ||
| Robert Elders | Corporate Officer | Jun 15, 2020 | |
| W-2 Managing Employee | Jun 15, 2020 | ||
| Greg Williams | Corporate Officer | Jan 13, 2022 | |
| JP Morgan Chase, N.a. | 5% Or Greater Direct Ownership Interest | Oct 1, 2016 | |
| 5% Or Greater Security Interest | Jun 30, 2016 | 100% | |
| Eric Samuels | Corporate Officer | Jun 3, 2019 | |
| Ivy Intermediate Holding Inc | 5% Or Greater Indirect Ownership Interest | Oct 1, 2016 | 100% |
| Filomena Rinaldi | Corporate Officer | Nov 3, 2021 | |
| Alfredo Sabillo | Corporate Officer | Jul 21, 2020 | |
| Ivy Holdings Inc | 5% Or Greater Indirect Ownership Interest | Oct 1, 2016 | 100% |
| Prospect Waterbury Inc | 5% Or Greater Direct Ownership Interest | Oct 1, 2016 | |
| William M Gorenstein | Corporate Officer | Aug 15, 2016 | |
| Prospect CT Inc | 5% Or Greater Direct Ownership Interest | Oct 1, 2016 | |
| David & Alexa Topper Family Trust | 5% Or Greater Indirect Ownership Interest | Oct 1, 2016 | 33.33% |
| David R Topper | Corporate Officer | Oct 1, 2016 | |
| Other | Oct 1, 2016 | ||
| Chamber Inc | 5% Or Greater Indirect Ownership Interest | Jun 1, 2021 | 100% |
| Prospect Medical Holdings Inc | 5% Or Greater Indirect Ownership Interest | Oct 1, 2016 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
5% Or Greater Direct Ownership Interest
Facilities with the same owner 13
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect CT Inc, Prospect Medical Holdings Inc
-
dba Los Angeles Comm Hosp, Norwalk Comm Hosp & LA Comm Hosp at Bellflower
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922001809
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
-
dba Foothill Regional Medical Center
- Pediatric Skilled Nursing Facility
- Tustin, CA
- NPI 1689096406
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
-
- Home Health Agency
- Providence, RI
- NPI 1811402100
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
-
dba Roger Williams Medical Center
- General Acute Care Hospital
- Providence, RI
- NPI 1013332014
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Prospect Medical Holdings Inc
-
dba Roger Williams Medical Center
- Psychiatric Hospital Unit
- Providence, RI
- NPI 1477978476
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Prospect Medical Holdings Inc
-
dba Southern New England Rehabilitation Center
- Rehabilitation Hospital Unit
- North Providence, RI
- NPI 1205251204
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Prospect Medical Holdings Inc
-
dba St. Joseph Health Center
- Psychiatric Hospital Unit
- North Providence, RI
- NPI 1396160396
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Prospect Medical Holdings Inc
-
dba Our Lady of Fatima Hospital
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Prospect Medical Holdings Inc
-
dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
-
dba Southern California Hospital at Culver City
- Rehabilitation Hospital Unit
- Culver City, CA
- NPI 1861744138
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
-
dba Southern California Hospital at Culver City
- Skilled Nursing Facility
- Culver City, CA
- NPI 1922350206
Chamber Inc, David & Alexa Topper Family Trust, Ivy Holdings Inc, Ivy Intermediate Holding Inc, Prospect Medical Holdings Inc
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2016 | Change of Ownership | Vna Health at Home |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
Practitioners & affiliated clinicians
Affiliated clinicians 65
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Hand Surgery Physician
- Middlebury, CT
- NPI 1962992669
Home health agency
-
- Interventional Cardiology Physician
- Waterbury, CT
- NPI 1841236312
Home health agency
-
- Vascular Surgery Physician
- Watertown, CT
- NPI 1780094326
Home health agency
-
- Hematology (Internal Medicine) Physician
- Waterbury, CT
- NPI 1760423867
Home health agency
-
- Internal Medicine Physician
- Waterbury, CT
- NPI 1861832107
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665705600000",
"number": "1265880413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 MAIN ST STE 3A",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952249",
"telephone_number": "860-274-7531",
"fax_number": "866-216-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 MAIN ST STE 3A",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952249",
"telephone_number": "860-274-7531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPECT WATERBURY HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-27",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A",
"authorized_official_last_name": "ELDERS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JON",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "714-788-1249"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VNA Health at Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "VNA at Home",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "VNA at Home",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Watertown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.