NPIMap

Organization Active NPI

Greater Manchester Homecare, LLC

  • Community Based Hospice Care Agency
  • Vernon, CT
National Provider Identifier
1508736224
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GREATER MANCHESTER HOMECARE, LLC
Practice address
8 Keynote Dr
Vernon, CT 06066-5040
Phone
(860) 545-0585
NPI assigned
Nov 7, 2025
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Gerald Boisvert
Title
Senior Vice President, Financial Op
Phone
(860) 263-4190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

8 Keynote Dr
Vernon, CT 06066-5040

Mailing address

1290 Silas Deane Hwy Ste 102
Wethersfield, CT 06109-4337
Phone (860) 972-3075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251216000647 CT Part A Provider - Hospice 3971097080 Practice locations: Vernon, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508736224. Details of each certification follow.

Hospice certification: CCN 071502

Legal name
GREATER MANCHESTER HOMECARE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 10, 1987
Last certification
Sep 7, 2017
Ownership / control type
Proprietary - Corporation
Organization structure
LLC
Enrollment address
8 Keynote Dr
Vernon, CT 06066-5040

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Greater Manchester Homecare, LLCCCN 071502 · All quality measures
Ownership
For-Profit
Certified
Jun 10, 1987
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Greater Manchester Homecare LLC2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1290 Silas Deane Hwy
Ste 102
Wethersfield, CT 06109

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Gerald Boisvert Individual Corporate OfficerAo/Sr Vice President of Financia Jan 1, 2026
W-2 Managing EmployeeAo/Sr Vice President of Financia Jan 1, 2026
Karen Harris Individual W-2 Managing EmployeeAd; Jan 1, 2026
Hartford Healthcare Corporation Organization, Hartford, CT 5% Or Greater Indirect Ownership Interest Jan 1, 2026 100%
Hartford Healthcare at Home, Inc Organization, Hartford, CT Holding company 5% Or Greater Direct Ownership Interest Jan 1, 2026 100%
Roy Zagieboylo Individual W-2 Managing EmployeeMD; Jan 1, 2026
Jeffrey Flaks Individual Corporate OfficerMember Representative Jan 1, 2026

Owners & managing parties with NPI records 3

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

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2026 Change of OwnershipThis provider was the buyer Visiting Nurse and Health Services of ConnecticutCCN 071502, CT, NPI 1669829990

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 16

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1508736224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY STE 102",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-3075",
            "fax_number": "860-972-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 KEYNOTE DR",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665040",
            "telephone_number": "860-545-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MANCHESTER HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "BOISVERT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, FINANCIAL OP",
        "authorized_official_telephone_number": "860-263-4190"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.