Organization Active NPI

Home Health Specialty Services, Inc

  • Home Health Agency
  • Hamden, CT
National Provider Identifier
1275957953
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEALTH SPECIALTY SERVICES, INC
Practice address
2524 Dixwell Ave
Hamden, CT 06514-1811
Phone
(203) 288-8200
Fax
(203) 288-8205
NPI assigned
Feb 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Janine Martino
Title
President
Phone
(203) 288-8200

Specialties & licenses 2

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

Addresses

Primary practice location

2524 Dixwell Ave
Hamden, CT 06514-1811

Mailing address

2524 Dixwell Ave
Hamden, CT 06514-1811
Phone (203) 288-8200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150212000133 CT Part A Provider - Home Health Agency 5496070559 Practice locations: Hamden, CT

Home health agency certification: CCN 077266

Legal name
HOME HEALTH SPECIALTY SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 8, 2015
Last certification
Aug 4, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 14, 2014 in CT
Enrollment address
2524 Dixwell Ave
Hamden, CT 06514-1811
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health Specialty Services, IncCCN 077266
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jun 8, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, 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
07D2090958Home Health Specialty Services, Inc2524 Dixwell Avenue, Hamden, CT 06514Certificate of waiverFeb 2, 2027

National Provider Directory

National Provider Directory

Locations

2524 Dixwell Ave
Hamden, CT 06514
Phone (203) 288-8200

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
Silvana C Kokkoros Individual W-2 Managing EmployeeAdministrator Feb 18, 2019
Janine Martino Individual 5% Or Greater Direct Ownership Interest Oct 11, 2017 50%
Corporate OfficerPresident Feb 14, 2014 50%
Derrick C Gibbs Individual 5% Or Greater Direct Ownership Interest May 19, 2021 50%
Corporate Officer May 19, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1275957953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141811",
            "telephone_number": "203-288-8200",
            "fax_number": "203-288-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141811",
            "telephone_number": "203-288-8200",
            "fax_number": "203-288-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH SPECIALTY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-288-8200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.