Active NPI
New Horizons Inc
Doing business as Cherry Brook Health Care Center
- Skilled Nursing Facility
- Collinsville, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2125-C
- 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, 2023
- 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
- Michael Mosier
- Title
- Cfo
- Phone
- (860) 751-3900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000021254 | Medicaid | CT | |
| 000095316 | Medicaid | CT |
Other names 1
- Cherry Brook Health Care 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 |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 27, 1994
- Medicare certification status
- Active
- Certified beds
- 100
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Cherry Brook Health Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cherry Brook Health Care Center
- Skilled Nursing Facility
- Collinsville, CT
- NPI 1518300292
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Marissa McDougal | Corporate Director | Jun 30, 2021 | |
| Michael Jennings | Corporate Director | Jan 1, 2015 | |
| Kristin Bojanowski | Corporate Director | Jan 1, 2015 | |
| Daniel Hincks | Corporate Director | Jan 1, 2015 | |
| Carmen Myers | Corporate Director | Jun 30, 2021 | |
| Bethany Camputaro | Operational/Managerial Control | Sep 13, 2024 | |
| Adp of the SNF | Sep 13, 2024 | ||
| Lauren Longley | Corporate Director | Jan 14, 2025 | |
| Jason W Cohen | Corporate Director | Sep 19, 2023 | |
| Robert Nevers | Corporate Director | Jan 1, 2015 | |
| Christopher Girard | Corporate Director | Jan 1, 2015 | |
| Anna Schaefer-Reid | Corporate Director | Mar 8, 2022 | |
| Joseph Walker | Corporate Director | Jan 10, 2023 | |
| Gary Miller | Operational/Managerial Control | Jun 5, 1997 | |
| Adp of the SNF | Jan 27, 2025 | ||
| Gary Gross | Corporate Director | Jan 1, 2015 | |
| Carol a Fitzgerald | Corporate 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.
-
- Internal Medicine Physician
- Canton, CT
- NPI 1528027430
Adp of the SNF, Operational/Managerial Control
-
- Physical Medicine & Rehabilitation Physician
- Farmington, CT
- NPI 1457547804
Corporate Director
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.
-
- Internal Medicine Physician
- Canton, CT
- NPI 1528027430
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.