Organization Active NPI

Whitney Center Inc.

  • Skilled Nursing Facility
  • Hamden, CT
National Provider Identifier
1467512376
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
985-C Issued in CT
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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)CodeLicenseStatePrimary
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 CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111201000034 CT Part A Provider - Skilled Nursing Facility 4284808221 Practice locations: Hamden, CT
O20241219000663 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284808221 Receives reassigned benefits from 1 practitioner
Practice locations: Hamden, CT

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
CorporationNon-profit
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 CenterCCN 075290 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 4, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5949.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Whitney Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NameRoleSinceShare
Anne Matist Individual W-2 Managing EmployeeAccountant Jan 8, 2017
Margaret Joyce Individual Corporate OfficerVice President of Clinical Services Oct 26, 2005
Kenneth Sandberg Individual Corporate OfficerCoo Jan 1, 2012
Operational/Managerial ControlCoo Jan 1, 2012
Jane Jervis Individual Corporate DirectorBoard Member Oct 1, 2014
Anthony Santore Individual Corporate DirectorChairman of the Board Oct 1, 2010
Jeff Devaney Individual Corporate OfficerVice President of Finance Dec 14, 2018
Micahel Rambarose Individual Corporate OfficerCeo Jan 1, 2012
W-2 Managing EmployeeCeo 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.

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": "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

Sources for this page

Verify at the official NPI Registry.