Organization Active NPI

The Connecticut Hospice, Inc

  • Home Health Agency
  • Branford, CT
National Provider Identifier
1396754255
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
C846210H Issued in CT
Legal business name
THE CONNECTICUT HOSPICE, INC
Practice address
100 Double Beach Rd
Branford, CT 06405-4909
Phone
(203) 315-7500
Fax
(203) 315-7614
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Mary Rose Gilhuly
Title
Chief Financial Officer
Phone
(203) 315-7633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X C846210H CT Primary

Addresses

Primary practice location

100 Double Beach Rd
Branford, CT 06405-4909

Mailing address

100 Double Beach Rd
Branford, CT 06405-4909
Phone (203) 315-7500

Other identifiers 1

IdentifierTypeStateIssuer
004043709MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050713000596 CT Part A Provider - Home Health Agency 7810960747 Practice locations: Branford, CT

Home health agency certification: CCN 077119

Legal name
THE CONNECTICUT HOSPICE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 1, 1977
Last certification
Oct 1, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
100 Double Beach Rd
Branford, CT 06405-4909

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: Home health agency

Medicare Care Compare
Listed as
CT Hospice Inc theCCN 077119
Ownership
Non-Profit
Certified
Jun 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
The Connecticut Hospice Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Suzanne P Lagarde Individual Corporate DirectorBoard Member Oct 1, 2024
William Kosturko Individual Corporate OfficerPresident, Board of Directors Oct 1, 2024
Robin Kanarek Individual Corporate DirectorBoard Member Oct 1, 2024
John Williams Individual Corporate DirectorBoard Member Oct 1, 2024
Patricia Baker Individual Corporate DirectorBoard Member Oct 1, 2024
Anthony Brockman Individual Corporate DirectorBoard Member Oct 1, 2024
Christopher P Comfort Individual Corporate DirectorBoard Member Oct 1, 2024
Edwin V Selden Individual Corporate OfficerSecretary, Board of Directors Oct 1, 2024
Harwood B Comstock Individual Corporate DirectorBoard Member Oct 1, 2024
Andrew Alden Individual Corporate OfficerTreasurer, Board of Directors Oct 1, 2024
Jeffrey Weber Individual Corporate Director Oct 1, 2024
Joseph Peter Sacco Individual W-2 Managing EmployeeMedical Director Mar 26, 2019
Operational/Managerial ControlMedical Director Mar 26, 2019 100%
Kathleen L Sims Individual Corporate OfficerChief Operating Officer Jun 12, 2023
W-2 Managing EmployeeChief Operating Officer Jun 12, 2023
Christine Camilleri Individual W-2 Managing EmployeeDirector of Billing & Reimbursement Sep 10, 2024
Thomas Candrick Individual Corporate DirectorBoard Member Oct 1, 2024
Mary R Gilhuly Individual Corporate OfficerChief Financial Officer Jan 15, 2024
W-2 Managing EmployeeChief Financial Officer Jan 15, 2024
Kamila Brettman Individual Corporate DirectorController Jun 13, 2022
Sylvia Allais Individual Corporate OfficerPresident & Ceo Jan 6, 2025 100%
W-2 Managing EmployeePresident & Ceo Jan 6, 2025 100%
Operational/Managerial ControlPresident & Ceo Jan 6, 2025 100%
Edo Banach Individual Corporate DirectorBoard Member Oct 1, 2024

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Connecticut Hospice IncBranford, CT, CCN 071500 Hospice Operational/Managerial Control Oct 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1396754255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOUBLE BEACH RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054909",
            "telephone_number": "203-315-7500",
            "fax_number": "203-315-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOUBLE BEACH RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054909",
            "telephone_number": "203-315-7500",
            "fax_number": "203-315-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONNECTICUT HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "GILHULY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-315-7633"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "C846210H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004043709",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.