Active NPI
Duncaster Incorporated
- Skilled Nursing Facility
- Bloomfield, CT
National Provider Identifier
1285851998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1060-C
- Legal business name
- DUNCASTER INCORPORATED
- Practice address
- 10 Loeffler Rd
Bloomfield, CT 06002-2256 - Phone
- (860) 726-2000
- Fax
- (860) 726-2425
- NPI assigned
- Apr 20, 2007
- 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 Leake
- Title
- Cfo
- Phone
- (860) 380-5038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1060-C | CT | Primary |
Addresses
Primary practice location
10 Loeffler Rd
Bloomfield, CT 06002-2256
Mailing address
40 Loeffler Rd
Bloomfield, CT 06002-2262
Phone (860) 726-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075301 | Other | CT | MEDICARE PROVIDER NUMBER |
Other names 1
- Caleb Hitchcock Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091231000218 | CT | Part A Provider - Skilled Nursing Facility | 1759422520 | Practice locations: Bloomfield, CT |
Skilled nursing facility certification: CCN 075301
- Legal name
- DUNCASTER, INCORPORATED
- Doing business as
- CALEB HITCHCOCK HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Jul 3, 1984
- Last certification
- Jan 24, 2024
- Beds
- 60
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 5, 1980 in CT
- Enrollment address
- 10 Loeffler Rd
Bloomfield, CT 06002-2256 - Nursing home name
- CALEB HITCHCOCK HEALTH CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Caleb Hitchcock Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Jul 3, 1984
- Medicare certification status
- Active
- Certified beds
- 60
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
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 |
|---|---|---|---|
| John Shulansky | Corporate Director | May 9, 2014 | |
| Duncaster, Incorporated | Operational/Managerial Control | Dec 1, 2009 | |
| Elizabeth Anderson | W-2 Managing Employee | Dec 1, 2009 | |
| Deborah Koltenuk | Corporate Director | Dec 1, 2009 | |
| Sondra King | Corporate Director | Dec 1, 2009 | |
| Michael O'Brien | Corporate Director | Dec 1, 2009 | |
| W-2 Managing Employee | Dec 1, 2009 | ||
| William Cocheran | Corporate Director | Dec 1, 2009 | |
| John Byrnes | Corporate Director | Dec 1, 2009 | |
| James Betts | Corporate Director | May 9, 2013 | |
| Carol J Mortensen | W-2 Managing Employee | Dec 1, 2009 | |
| Marcia Hincks | Corporate Director | May 9, 2013 | |
| Marie Spivey | Corporate Director | May 9, 2014 | |
| Robert Leake | Corporate Officer | Jan 3, 2023 | 15% |
| Operational/Managerial Control | Jan 3, 2023 | 15% | |
| Daniel Tracy | Corporate Director | May 9, 2013 |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Hartford, CT
- NPI 1154323426
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Bristol, CT
- NPI 1982922332
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Hartford, CT
- NPI 1336329465
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Willimantic, CT
- NPI 1306370010
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702598400000",
"number": "1285851998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 LOEFFLER RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022262",
"telephone_number": "860-726-2000",
"fax_number": "860-380-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LOEFFLER RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022256",
"telephone_number": "860-726-2000",
"fax_number": "860-726-2425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNCASTER INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A",
"authorized_official_last_name": "LEAKE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "860-380-5038"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "1060-C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "075301",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Caleb Hitchcock Health Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Caleb Hitchcock Health Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.