Organization Active NPI

New Horizons Inc

Doing business as Cherry Brook Health Care Center

  • Skilled Nursing Facility
  • Collinsville, CT
National Provider Identifier
1376593848
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2125-C Issued in CT
Legal business name
NEW HORIZONS INC
Doing business as
Cherry Brook Health Care Center
Practice address
102 Dyer Ave
Collinsville, CT 06019-3236
Phone
(860) 693-7777
Fax
(860) 693-7779
NPI assigned
May 12, 2006
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Michael Mosier
Title
Cfo
Phone
(860) 751-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 2125-C CT
Skilled Nursing Facility 314000000X 2125-C CT Primary

Addresses

Primary practice location

102 Dyer Ave
Collinsville, CT 06019-3236

Mailing address

102 Dyer Ave
Collinsville, CT 06019-3236
Phone (860) 693-7777

Other identifiers 2

IdentifierTypeStateIssuer
000021254MedicaidCT
000095316MedicaidCT

Other names 1

  • Cherry Brook Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070925000237 CT Part A Provider - Skilled Nursing Facility 8123112927 Practice locations: Canton, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376593848. Details of each certification follow.

Skilled nursing facility certification: CCN 075396

Legal name
NEW HORIZONS INC
Doing business as
CHERRY BROOK HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 27, 1994
Last certification
Dec 23, 2024
Beds
100
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 22, 1955 in CT
Enrollment address
102 Dyer Avenue
Canton, CT 06019-3236
Nursing home name
CHERRY BROOK HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cherry Brook Health Care CenterCCN 075396 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 27, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10096.2 residents per day on average
Penalties (3 years)
1Fines totaling $11,175

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Cherry Brook Health Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Marissa McDougal Individual Corporate DirectorSecretary Jun 30, 2021
Michael Jennings Individual Corporate Director Jan 1, 2015
Kristin Bojanowski Individual Corporate Director Jan 1, 2015
Daniel Hincks Individual Corporate DirectorTreasurer Jan 1, 2015
Carmen Myers Individual Corporate DirectorDirector Jun 30, 2021
Bethany Camputaro Individual Operational/Managerial Control Sep 13, 2024
Adp of the SNF Sep 13, 2024
Lauren Longley Individual Corporate Director Jan 14, 2025
Jason W Cohen Individual Corporate Director Sep 19, 2023
Robert Nevers Individual Corporate DirectorSecretary Jan 1, 2015
Christopher Girard Individual Corporate DirectorVice Chairman Jan 1, 2015
Anna Schaefer-Reid Individual Corporate DirectorChair Mar 8, 2022
Joseph Walker Individual Corporate Director Jan 10, 2023
Gary Miller Individual Operational/Managerial Control Jun 5, 1997
Adp of the SNF Jan 27, 2025
Gary Gross Individual Corporate Director Jan 1, 2015
Carol a Fitzgerald Individual Corporate OfficerChief Executive Officer Apr 27, 2015

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1376593848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DYER AVE",
            "city": "COLLINSVILLE",
            "state": "CT",
            "postal_code": "060193236",
            "telephone_number": "860-693-7777",
            "fax_number": "860-693-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DYER AVE",
            "city": "COLLINSVILLE",
            "state": "CT",
            "postal_code": "060193236",
            "telephone_number": "860-693-7777",
            "fax_number": "860-693-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "MOSIER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CT",
            "license": "2125-C",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2125-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000021254",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000095316",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Brook Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherry Brook Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collinsville, CT

Sources for this page

Verify at the official NPI Registry.