Visiting Nurses of the Lower Valley, Inc.
Organization Active NPI Home Health Agency · Centerbrook, CT
NPI 1508872151 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1508872151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- C80114 (CT)
- 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
- Organization subpart
- No
Authorized official
- Name
- Susan Maxwell
- Title
- Executive Director
- Phone
- (860) 767-0186
Practitioners 1
-
Aaron M Morales, DPT
Affiliated clinicians 8
-
Elizabeth K. Nelligan, M.D.
-
Jennifer P Swenson, M.D.
-
Suzanne Tingley, MD
-
Timothy A Tobin, MD
Medicare Care Compare: Home health agency
- Listed as
- Visiting Nurses of the Lower V
- Overall star rating
- ★★★★☆ 3.5 of 5
- 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
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0096365 | Visiting Nurses of the Lower Valley | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT
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 · Non-profit
- Incorporated
- Dec 20, 1920 in CT
- Enrollment address
- 61 Main St
Ste 5
Centerbrook, CT 06409-1070
All disclosed owners & managing parties 7
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050524000714 | CT | Part a Provider - Home Health Agency | 8527000108 | Practice locations: Centerbrook, CT |
| O20260120000584 | CT | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8527000108 |
Receives reassigned benefits from 1 practitioner Practice locations: Centerbrook, CT |
National Provider Directory
Locations
61 Main St
Ste 5
Centerbrook, CT 06409
Phone (860) 767-0186
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse |
163WH0200X | C80114 | CT | |
| Home Health Agency | 251E00000X | C80114 | CT | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004073359 | Other | CT | CHC PERFORMING PROVIDER |
| C80114 | Other | CT | LICENSURE |
| 4043022 | Medicaid | CT |
Other providers in Centerbrook, CT
- Sara Brooke Snyder
- Catherine Rodgers Spagnola
- Specialty RX Consulting LLC
- Specialty RX Consulting LLC
- Mary Tremalgia
- Wild Apple Eye LLC
All providers in Centerbrook, CT · Home Health Agency in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.