Active NPI
Home Health Specialty Services, Inc
- Home Health Agency
- Hamden, CT
National Provider Identifier
1275957953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Feb 14, 2014 in CT
- Enrollment address
- 2524 Dixwell Ave
Hamden, CT 06514-1811
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Home Health Specialty Services, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 8, 2015
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2090958 | Home Health Specialty Services, Inc | Certificate of waiver | Feb 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Silvana C Kokkoros | W-2 Managing Employee | Feb 18, 2019 | |
| Janine Martino | 5% Or Greater Direct Ownership Interest | Oct 11, 2017 | 50% |
| Corporate Officer | Feb 14, 2014 | 50% | |
| Derrick C Gibbs | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.