NPIMap

Organization Active NPI

SVMC Holdings, Inc

  • Rehabilitation Hospital Unit
  • Bridgeport, CT
National Provider Identifier
1396751616
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
0057 Issued in CT
Legal business name
SVMC HOLDINGS, INC
Practice address
2800 Main St
Bridgeport, CT 06606-4201
Phone
(203) 576-5551
Fax
(203) 576-5551
NPI assigned
Jul 31, 2006
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. VINCENT'S MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Roseann Slywka
Title
Director of PT. Financial Services
Phone
(475) 210-5291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 0057 CT Primary

Addresses

Primary practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

2800 Main St
Bridgeport, CT 06606-4201
Phone (203) 576-5551

Other identifiers 2

IdentifierTypeStateIssuer
004041893MedicaidCT
004025185MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191111002686 CT Part A Provider - Hospital 5294066874 Practice locations: Stratford, CT; Milford, CT; Bridgeport, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396751616. Details of each certification follow.

Hospital certification: CCN 07T028

Legal name
SVMC HOLDINGS, INC
Doing business as
ST VINCENT'S MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 2019 in CT
Enrollment address
2800 Main St
Bridgeport, CT 66064201
Hospital Rehabilitation Unit
Hospital subgroups
General, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
St Vincent's Medical CenterCCN 07T028 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 1999

National Provider Directory

National Provider Directory
Tax ID family
SVMC Holdings Inc3 organizations share this tax ID, including this one
Part of
SVMC Holdings Inc

Other organizations with this tax ID 2

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

Locations

2820 Main St
Bridgeport, CT 06606

1290 Silas Deane Hwy
Ste 102
Wethersfield, CT 06109

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
Patrick Toole Individual Corporate DirectorBoard of Director Jun 17, 2025
Strick J Woods Individual Corporate DirectorBoard of Director Oct 1, 2019
Lucia a Teixeira Individual Corporate DirectorBoard of Director Oct 1, 2019
William M Jennings Individual Corporate OfficerPresident Jul 19, 2021
W-2 Managing EmployeePresident Jul 19, 2021
Operational/Managerial ControlPresident Jul 19, 2021
Peter R Cimino Individual Corporate DirectorBoard of Director Jun 17, 2025
Carol Birks Individual Corporate DirectorBoard of Director Oct 1, 2019
Robin Cautin Individual Corporate DirectorBoard of Director Jun 17, 2025
Rahul Gupta Individual Corporate DirectorBoard of Director Jul 1, 2022
Douglas Grabe Individual Corporate DirectorBoard of Director Jun 17, 2025
Hartford Healthcare Corporation Organization, Hartford, CT Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
George Estrada Individual Corporate DirectorBoard of Director Oct 1, 2019
Debra Liebowitz Individual Corporate DirectorBoard of Director Jun 17, 2025
Dara Thomas Richards Individual Corporate DirectorBoard of Director Oct 1, 2019
Rina Bakalar Individual Corporate DirectorBoard of Director Jun 26, 2024
Jane Manning Individual Corporate DirectorBoard of Director Jun 17, 2025

Owners & managing parties with NPI records 4

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

Facilities with the same owner 17

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

View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1396751616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5551",
            "fax_number": "203-576-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5551",
            "fax_number": "203-576-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVMC HOLDINGS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT'S MEDICAL CENTER",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "SLYWKA",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_title_or_position": "DIRECTOR OF PT. FINANCIAL SERVICES",
        "authorized_official_telephone_number": "475-210-5291"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "CT",
            "license": "0057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004041893",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004025185",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.