Active NPI
Jerome Home
- Skilled Nursing Facility
- New Britain, CT
National Provider Identifier
1508860008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2065-C
- Legal business name
- JEROME HOME
- Practice address
- 975 Corbin Ave
New Britain, CT 06052-1243 - Phone
- (860) 229-3707
- NPI assigned
- Jun 13, 2005
- 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
- Lisa Connolly
- Title
- Executive Director
- Phone
- (860) 229-3707
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 2065-C | CT | |
| Skilled Nursing Facility | 314000000X | 2065-C | CT | Primary |
Addresses
Primary practice location
975 Corbin Ave
New Britain, CT 06052-1243
Mailing address
975 Corbin Ave
New Britain, CT 06052-1243
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0575759 | Other | CT | AETNA |
| 661 | Other | CT | BCBS |
| 000037 | Other | CT | CCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090512000099 | CT | Part A Provider - Skilled Nursing Facility | 6709773021 | Practice locations: New Britain, CT |
Skilled nursing facility certification: CCN 075343
- Legal name
- JEROME HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 6, 1990
- Last certification
- Feb 10, 2025
- Beds
- 94
- Ownership / control type
- Other Nonprofit
- Organization structure
- Other
- Enrollment address
- 975 Corbin Ave
New Britain, CT 06052-1259 - Nursing home name
- JEROME HOME
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: Nursing home
Medicare Care Compare- Listed as
- Jerome Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Nov 6, 1990
- Medicare certification status
- Active
- Certified beds
- 94
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Jerome Home
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- New Britain, CT
- NPI 1881940500
-
- Nursing Facility/Intermediate Care Facility
- New Britain, CT
- NPI 1558424168
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Daniel Daigle | Corporate Director | Jan 29, 2015 | |
| Harry Mazadorian | Corporate Director | Jul 1, 2004 | |
| Earle J Sittambalam | Corporate Director | Jan 29, 2015 | |
| Lori Toombs | Corporate Director | Nov 23, 2014 | |
| Linda Gertz | W-2 Managing Employee | Oct 4, 2006 | |
| Justine Moriarty | Corporate Director | Jan 29, 2015 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- New Britain, CT
- NPI 1851512784
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Hartford, CT
- NPI 1316043045
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Hartford, CT
- NPI 1538175765
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1508860008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 CORBIN AVE",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060521243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 CORBIN AVE",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060521243",
"telephone_number": "860-229-3707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEROME HOME",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "CONNOLLY",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "860-229-3707"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "CT",
"license": "2065-C",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "2065-C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0575759",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "661",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCS",
"identifier": "000037",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.