NPIMap

Organization Active NPI

Church Home of Hartford, Inc

Doing business as Seabury

  • Skilled Nursing Facility
  • Bloomfield, CT
National Provider Identifier
1285690925
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2103C Issued in CT
Legal business name
CHURCH HOME OF HARTFORD, INC
Doing business as
Seabury
Practice address
200 Seabury Drive
Bloomfield, CT 06002-2650
Phone
(860) 286-0243
Fax
(860) 242-4552
NPI assigned
Apr 21, 2006
Last updated
Jan 22, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CHURCH HOME OF HARTFORD, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Sheri Ann Knowlton
Title
Sr. Accountant
Phone
(860) 243-6029

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2103C CT Primary
Nursing Home AdministratorGroup: 193400000X SINGLE SPECIALTY GROUP 376G00000X 001308 CT

Addresses

Primary practice location

200 Seabury Drive
Bloomfield, CT 06002-2650

Mailing address

200 Seabury Drive
Bloomfield, CT 06002-2650
Phone (860) 286-0243

Other identifiers 1

IdentifierTypeStateIssuer
000021030MedicaidCT

Other names 1

  • Seabury Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100308000073 CT Part A Provider - Skilled Nursing Facility 4183769755 Practice locations: Bloomfield, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285690925. Details of each certification follow.

Skilled nursing facility certification: CCN 075383

Legal name
CHURCH HOME OF HARTFORD, INC
Doing business as
SEABURY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 21, 1993
Last certification
Mar 21, 2024
Beds
72
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Enrollment address
200 Seabury Dr
Bloomfield, CT 06002-2650
Nursing home name
SEABURY

Care Compare: Nursing home

Medicare Care Compare
Listed as
SeaburyCCN 075383 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Apr 21, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7267.7 residents per day on average
Penalties (3 years)
1Fines totaling $28,105

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
Church Home of Hartford

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Rose Knittel Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Apr 23, 2025
Craig Scott Individual Corporate Director Jan 1, 2017
Cliftonlarsonallen LLP Organization, Minneapolis, MN Consulting firm Operational/Managerial Control Jan 1, 2024
Adp of the SNF May 2, 2025
Erl G Purnell Individual Corporate DirectorChair of the Board Nov 1, 2015
Norvilla Findlay Individual Corporate Director Mar 13, 2025
Bradford S Babbitt Individual Corporate Director Nov 1, 2014
August Jasminski Individual Corporate Director Mar 7, 2024
Ellen Dollar Individual Corporate Director Nov 6, 2025
Diane Mack Individual Corporate Director Nov 2, 2023
Healthpro Heritage LLC Organization, Greenville, SC LLC, Medical provider/supplier, Medical staffing company Operational/Managerial Control Feb 1, 2017
Adp of the SNF May 2, 2025
Ronald Theriault Individual Corporate DirectorSecretary Nov 2, 2023
Cheryl L Jacques Individual Corporate Director Jan 15, 2025
Michael Sherrill Individual Corporate Director Nov 7, 2019
Michael Oakes Individual Corporate OfficerCoo Jun 30, 2019
Operational/Managerial Control Jun 30, 2019
John Pickering Individual Corporate Director Nov 6, 2025
Marian Moore Individual Corporate Director Nov 3, 2022
Russell Tonkin Individual Corporate Director Nov 5, 2020
Lynne Stanley Individual Corporate Director Nov 6, 2025
Matthew Mihalcik Individual Corporate DirectorDirector May 15, 2026
Jeffrey Mello Individual Corporate Director Nov 3, 2022
Robert Ziegenhagen Individual Corporate Director Jun 26, 2025
Robert Burnett Individual Corporate Director Nov 2, 2023
Jacob Bompastore Individual Operational/Managerial Control Apr 10, 2019
Adp of the SNF Apr 10, 2019
Renee J Bernasconi Individual Corporate OfficerCeo Jul 1, 2019
Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Ruslan Kuzmenko Individual Corporate OfficerCfo Jan 1, 2017
Operational/Managerial Control Jun 9, 2026
Adp of the SNF Jan 1, 2018

Owners & managing parties with NPI records 2

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

Facilities with the same owner 56

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

View all 56

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1285690925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SEABURY DRIVE",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022650",
            "telephone_number": "860-286-0243",
            "fax_number": "860-242-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SEABURY DRIVE",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022650",
            "telephone_number": "860-286-0243",
            "fax_number": "860-242-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH HOME OF HARTFORD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHURCH HOME OF HARTFORD, INC",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "KNOWLTON",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SR. ACCOUNTANT",
        "authorized_official_telephone_number": "860-243-6029"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2103C",
            "primary": true
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": "CT",
            "license": "001308",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000021030",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seabury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.