Organization Active NPI

McLean Affiliates, Inc.

  • Skilled Nursing Facility
  • Simsbury, CT
National Provider Identifier
1508844168
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MCLEAN AFFILIATES, INC.
Practice address
75 Great Pond Rd
Simsbury, CT 06070-1980
Phone
(860) 658-3700
Fax
(860) 658-1247
NPI assigned
Jan 4, 2006
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Mr. Tito Gautier
Title
Vice Pesident
Phone
(860) 658-3700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

75 Great Pond Rd
Simsbury, CT 06070-1980

Mailing address

75 Great Pond Rd
Simsbury, CT 06070-1980
Phone (860) 658-3700

Other identifiers 1

IdentifierTypeStateIssuer
000008847MedicaidCT

Other names 1

  • McLean Health Center Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090406000225 CT Part A Provider - Skilled Nursing Facility 6800950015 Practice locations: Simsbury, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508844168. Details of each certification follow.

Skilled nursing facility certification: CCN 075216

Legal name
MCLEAN AFFILIATES, INC.
Doing business as
MCLEAN HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 28, 1972
Last certification
Apr 30, 2025
Beds
144 (72 certified)
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Enrollment address
75 Great Pond Rd
Simsbury, CT 06070-1980
Nursing home name
MCLEAN HEALTH CENTER

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
McLean Health CenterCCN 075216 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Mar 28, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7260.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ability Network3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Linda Schofield Individual Trustee of the SNF Jan 1, 2023
Paula Depinto Individual Corporate OfficerVP of Finance Apr 1, 2025 100%
Adp of the SNF Apr 1, 2025
Jared Grise Individual Trustee of the SNF Jan 1, 2023
Kawarjeet Singh Individual Operational/Managerial Control Jul 31, 2024
Adp of the SNF Jul 31, 2024
Kathleen Alsgard Individual Trustee of the SNF Jan 1, 2023
Denis Horrigan Individual Trustee of the SNF Jan 1, 2023
Margaret Coburn Individual Operational/Managerial Control Jun 20, 2016
Kevin M Baran Individual Managing Control - Governing Body Jan 1, 2023
Trustee of the SNF Jan 1, 2023
Lisa Clark Individual Corporate OfficerPresident Jul 1, 2022 100%
Operational/Managerial Control Jul 1, 2022
Adp of the SNF Jul 1, 2022
Carlene Rhea Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Philip J Schulz Individual Trustee of the SNF Jan 1, 2023
Michael Paine-Chairman Individual Corporate Officer Jan 1, 2023
James Cox-Chapman Individual Trustee of the SNF Jan 1, 2023
Mark Wetzel Individual Operational/Managerial Control Jan 1, 2023
Managing Control - Governing Body Jan 1, 2023
Trustee of the SNF Jan 1, 2023
Anne Rolfe Individual Corporate OfficerAdministrator Nov 15, 2022 100%
Operational/Managerial Control Nov 15, 2022
Adp of the SNF Nov 15, 2022

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1508844168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GREAT POND RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701980",
            "telephone_number": "860-658-3700",
            "fax_number": "860-658-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GREAT POND RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701980",
            "telephone_number": "860-658-3700",
            "fax_number": "860-658-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN AFFILIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "GAUTIER",
        "authorized_official_first_name": "TITO",
        "authorized_official_title_or_position": "VICE PESIDENT",
        "authorized_official_telephone_number": "860-658-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000008847",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "McLean Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Simsbury, CT

Sources for this page

Verify at the official NPI Registry.