Active NPI
Visiting Nurses of the Lower Valley, Inc.
- Home Health Agency
- Centerbrook, CT
National Provider Identifier
1508872151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- C80114
- Legal business name
- VISITING NURSES OF THE LOWER VALLEY, INC.
- Practice address
- 61 Main St
5
Centerbrook, CT 06409-1070 - Phone
- (860) 767-0186
- Fax
- (860) 767-8383
- NPI assigned
- Aug 1, 2006
- Last updated
- Oct 1, 2024
- 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
- Susan Maxwell
- Title
- Executive Director
- Phone
- (860) 767-0186
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | C80114 | CT | |
| Home Health Agency | 251E00000X | C80114 | CT | Primary |
Addresses
Primary practice location
61 Main St
5
Centerbrook, CT 06409-1070
Mailing address
61 Main St
5
Centerbrook, CT 06409-1070
Phone (860) 767-0186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508872151. Details of each certification follow.
Home health agency certification: CCN 077079
- Legal name
- VISITING NURSES OF THE LOWER VALLEY, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 1, 1966
- Last certification
- Jul 18, 2019
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation
- Incorporated
- Dec 20, 1920 in CT
- Enrollment address
- 61 Main St
Ste 5
Centerbrook, CT 06409-1070
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Visiting Nurses of the Lower V
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Jul 1, 1966
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0096365 | Visiting Nurses of the Lower Valley | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
61 Main St
Ste 5
Centerbrook, CT 06409
Phone (860) 767-0186
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Susan Murphy | Corporate Director | Jul 1, 2016 | |
| Richard Levene | Corporate Director | Jul 1, 2016 | |
| Theodore Heiser | Corporate Director | Jul 1, 2016 | |
| Claire M Scola | Corporate Director | Jul 1, 2016 | |
| Reuben Manning | Corporate Director | Jul 1, 2016 | |
| Rich Viscardi | Contracted Managing Employee | Jul 1, 2016 | |
| Corporate Officer | Jul 1, 2016 | ||
| Operational/Managerial Control | Jul 1, 2016 | ||
| Susan Maxwell | W-2 Managing Employee | Jul 1, 2016 |
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.
-
- Physical Therapist
- Niantic, CT
- NPI 1922364876
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Old Lyme, CT
- NPI 1215217203
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1508872151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MAIN ST",
"address_2": "5",
"city": "CENTERBROOK",
"state": "CT",
"postal_code": "064091070",
"telephone_number": "860-767-0186",
"fax_number": "860-767-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 MAIN ST",
"address_2": "5",
"city": "CENTERBROOK",
"state": "CT",
"postal_code": "064091070",
"telephone_number": "860-767-0186",
"fax_number": "860-767-8383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISITING NURSES OF THE LOWER VALLEY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A",
"authorized_official_last_name": "MAXWELL",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "860-767-0186"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "CT",
"license": "C80114",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CT",
"license": "C80114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerbrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.