NPIMap

Organization Active NPI

Generations Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Norwich, CT
National Provider Identifier
1447415815
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
0321 Issued in CT
Legal business name
GENERATIONS FAMILY HEALTH CENTER, INC.
Practice address
330 Washington St
Ste 510
Norwich, CT 06360-2700
Phone
(860) 450-7471
NPI assigned
Jul 24, 2008
Last updated
Mar 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
GENERATIONS FAMILY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Ms. Debra Savoie
Title
Cfo
Phone
(860) 456-6271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 0321 CT Primary
Health Service Clinic/Center 261QH0100X 0321 CT

Addresses

Primary practice location

330 Washington St
Ste 510
Norwich, CT 06360-2700

Mailing address

330 Washington St
Suite 510
Norwich, CT 06360-2700
Phone (860) 885-1308

Other identifiers 1

IdentifierTypeStateIssuer
004235695MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060824000274 CT Part A Provider - Federally Qualified Health Center (FQHC) 4880640630 1 other NPI on this enrollment
Practice locations: Norwich, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447415815. Details of each certification follow.

Federally qualified health center certification: CCN 071813

Legal name
GENERATIONS FAMILY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 19, 1996
Last certification
Aug 19, 1996
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 12, 1991 in CT
Enrollment address
330 Washington St
Ste 510
Norwich, CT 63602733

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

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

Other organizations with this tax ID 2

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

Locations

40 Mansfield Ave
Willimantic, CT 06226
Phone (860) 450-7471

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Nancy Hinchey Individual Corporate Director Jul 26, 2012
Giselle Lopez Individual Corporate Director Jun 2, 2022
Michael Bolton Individual Corporate Director Oct 15, 2012
Dina Dufort Individual Corporate Director Jun 3, 2021
Cherie Poirier Individual Corporate Director Sep 25, 2014
April Burke Individual Corporate Director Apr 5, 2018
Nelson Walker Individual Other Nov 20, 2014
Debra Savoie Individual W-2 Managing Employee Jun 28, 2006
Melissa Meyers Individual Corporate Director Jan 3, 2023
Argentina Perez Individual Corporate Director Jan 28, 2016
Selma N. Ward Individual Corporate DirectorChairperson Apr 27, 2017
Emmanuel Perez Deayala Individual OtherVice-Chairperson Mar 7, 2019
Beth Ober Individual Corporate Director Oct 28, 2010
Joan Marshall Individual Corporate Director May 5, 2022

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1447415815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "address_2": "SUITE 510",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602700",
            "telephone_number": "860-885-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "address_2": "STE 510",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602700",
            "telephone_number": "860-450-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENERATIONS FAMILY HEALTH CENTER, INC.",
        "enumeration_date": "2008-07-24",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "SAVOIE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-456-6271",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CT",
            "license": "0321",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CT",
            "license": "0321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235695",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.