NPIMap

Organization Active NPI

Stratford Visiting Nurse Association, Inc.

  • Home Health Agency
  • Stratford, CT
National Provider Identifier
1336178276
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
C81841 Issued in CT
Legal business name
STRATFORD VISITING NURSE ASSOCIATION, INC.
Practice address
3060 Main St
Stratford, CT 06614-4939
Phone
(203) 375-5871
Fax
(203) 378-8193
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Mrs. Mary Therien
Title
President/Ceo
Phone
(203) 375-5871

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X C81841 CT Primary
Respite Care 385H00000X C81841 CT

Addresses

Primary practice location

3060 Main St
Stratford, CT 06614-4939

Mailing address

3060 Main St
Stratford, CT 06614-4939
Phone (203) 375-5871

Other identifiers 2

IdentifierTypeStateIssuer
004042404MedicaidCT
004073011OtherCTAASCC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000387 CT Part A Provider - Home Health Agency 8628106994 Practice locations: Stratford, CT

Home health agency certification: CCN 077001

Legal name
STRATFORD VISITING NURSE ASSOCIATION, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Jan 24, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1949 in CT
Enrollment address
3060 Main St
Stratford, CT 06614-4939
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Stratford VnaCCN 077001
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
07D0695874Stratford Visiting Nurse Assoc Inc3060 Main St, Stratford, CT 06614Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Mary Therien Individual Corporate OfficerPres/Ceo Mar 31, 2010 100%
W-2 Managing EmployeePresident / Ceo Mar 1, 2010 100%
Rich Viscardi Individual Corporate OfficerVP Finance Mar 31, 2010 100%
W-2 Managing EmployeeVP Finance Mar 31, 2010 100%

Practitioners & affiliated clinicians

Affiliated clinicians 80

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 80

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1336178276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144939",
            "telephone_number": "203-375-5871",
            "fax_number": "203-378-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144939",
            "telephone_number": "203-375-5871",
            "fax_number": "203-378-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD VISITING NURSE ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "THERIEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "203-375-5871",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "C81841",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CT",
            "license": "C81841",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004042404",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AASCC",
            "identifier": "004073011",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

Verify at the official NPI Registry.