Active NPI
McLean Affiliates, Inc.
- Skilled Nursing Facility
- Simsbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2026
- 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. Tito Gautier
- Title
- Vice Pesident
- Phone
- (860) 658-3700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000008847 | Medicaid | CT |
Other names 1
- McLean Health Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
dba McLean Outpatient Rehab
- Physical Therapist
- Simsbury, CT
- NPI 1366569964
6800950015
Care Compare: Nursing home
Medicare Care Compare- Listed as
- McLean Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Mar 28, 1972
- Medicare certification status
- Active
- Certified beds
- 72
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Simsbury, CT
- NPI 1891813655
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Linda Schofield | Trustee of the SNF | Jan 1, 2023 | |
| Paula Depinto | Corporate Officer | Apr 1, 2025 | 100% |
| Adp of the SNF | Apr 1, 2025 | ||
| Jared Grise | Trustee of the SNF | Jan 1, 2023 | |
| Kawarjeet Singh | Operational/Managerial Control | Jul 31, 2024 | |
| Adp of the SNF | Jul 31, 2024 | ||
| Kathleen Alsgard | Trustee of the SNF | Jan 1, 2023 | |
| Denis Horrigan | Trustee of the SNF | Jan 1, 2023 | |
| Margaret Coburn | Operational/Managerial Control | Jun 20, 2016 | |
| Kevin M Baran | Managing Control - Governing Body | Jan 1, 2023 | |
| Trustee of the SNF | Jan 1, 2023 | ||
| Lisa Clark | Corporate Officer | Jul 1, 2022 | 100% |
| Operational/Managerial Control | Jul 1, 2022 | ||
| Adp of the SNF | Jul 1, 2022 | ||
| Carlene Rhea | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Philip J Schulz | Trustee of the SNF | Jan 1, 2023 | |
| Michael Paine-Chairman | Corporate Officer | Jan 1, 2023 | |
| James Cox-Chapman | Trustee of the SNF | Jan 1, 2023 | |
| Mark Wetzel | Operational/Managerial Control | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Trustee of the SNF | Jan 1, 2023 | ||
| Anne Rolfe | Corporate Officer | 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.
-
- Internal Medicine Physician
- Bristol, CT
- NPI 1124239728
Managing Control - Governing Body, Trustee of the SNF
-
- Family Medicine Physician
- South Windsor, CT
- NPI 1780098541
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Farmington, CT
- NPI 1265578280
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.