Active NPI
Whitney Center Inc.
- Skilled Nursing Facility
- Hamden, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 985-C
- Legal business name
- WHITNEY CENTER INC.
- Practice address
- 200 Leeder Hill Dr
Hamden, CT 06517-2758 - Phone
- (203) 281-6745
- Fax
- (203) 848-1609
- NPI assigned
- Dec 11, 2006
- Last updated
- Nov 6, 2024
- 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
- Mr. Gregory B Gravel
- Title
- President
- Phone
- (206) 281-6745
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 985-C | CT | Primary |
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU |
Addresses
Primary practice location
200 Leeder Hill Dr
Hamden, CT 06517-2758
Mailing address
200 Leeder Hill Dr
Hamden, CT 06517-2758
Phone (203) 281-6745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1467512376. Details of each certification follow.
Skilled nursing facility certification: CCN 075290
- Legal name
- WHITNEY CENTER INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 4, 1979
- Last certification
- Dec 4, 2024
- Beds
- 59
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Apr 12, 1973 in CT
- Enrollment address
- 200 Leeder Hill Drive
Hamden, CT 06517-2749 - Nursing home name
- WHITNEY CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Whitney Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 4, 1979
- Medicare certification status
- Active
- Certified beds
- 59
National Provider Directory
National Provider Directory- Tax ID family
- Whitney Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Hamden, CT
- NPI 1851077606
Ownership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Anne Matist | W-2 Managing Employee | Jan 8, 2017 | |
| Margaret Joyce | Corporate Officer | Oct 26, 2005 | |
| Kenneth Sandberg | Corporate Officer | Jan 1, 2012 | |
| Operational/Managerial Control | Jan 1, 2012 | ||
| Jane Jervis | Corporate Director | Oct 1, 2014 | |
| Anthony Santore | Corporate Director | Oct 1, 2010 | |
| Jeff Devaney | Corporate Officer | Dec 14, 2018 | |
| Micahel Rambarose | Corporate Officer | Jan 1, 2012 | |
| W-2 Managing Employee | Jan 1, 2012 |
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.
-
- Occupational Therapist
- Hamden, CT
- NPI 1154793610
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- New Haven, CT
- NPI 1376544932
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730851200000",
"number": "1467512376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LEEDER HILL DR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065172758",
"telephone_number": "203-281-6745",
"fax_number": "203-848-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LEEDER HILL DR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065172758",
"telephone_number": "203-281-6745",
"fax_number": "203-848-1609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITNEY CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A",
"authorized_official_last_name": "GRAVEL",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-281-6745",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "985-C",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
- Christopher William White, ACNP-BC
- Dana White, MS RD ATC
- Kathleen P White, M.D.
- Lynette A. White, P.A.-C
- Sophia Grace Whitewater
- Whitney Center Inc.
- Whitney Internal Medicine LLC
- Whitney Manor Operating Company LLC (Whitney Rehabilitation Care Center)
- Whitney Pediatrics & Adolescent Medicine, P.C.
- Whitneyville Physical Therapy Partners
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.