Organization Active NPI

The Hospital of Central Connecticut at New Britain General and Bradley

End-Stage Renal Disease (ESRD) Treatment Clinic/Center
New Britain, CT

National Provider Identifier

1508928615

Registry record updated Nov 27, 2023

On this page

Key facts
NPPES NPI Registry
National Provider Directory
NPI Registry JSON
Other providers in New Britain, CT
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name: THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY
Practice address: 100 Grand St
New Britain, CT 06052-2016
Phone: (860) 224-5011
Fax: (860) 224-5740
NPI assigned: Dec 14, 2006
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name: Mrs. Lucille Janatka
Title: President
Phone: (860) 224-5900

Specialties & licenses 1

Specialty (taxonomy)	Code	License	State	Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center	261QE0700X			Primary

Addresses

Primary practice location

100 Grand St
New Britain, CT 06052-2016

Mailing address

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5011

Other identifiers 17

Identifier	Type	State	Issuer
004025243	Other	CT	BEH HLTH PARTNERSHIP OP
092132700	Medicaid	FL
900050	Other	CT	CONNECTICARE INSURANCE
IV1010	Other	CT	HEALTHNET INSURANCE
CTGA001016	Other	CT	ADV BEH HEALTH
H02258	Other	CT	OXFORD INSURANCE
004025243	Other	CT	SAGA OUTPT
344791	Other	CT	WELLCARE MEDICARE
4025243	Medicaid	CT
4041950	Medicaid	CT
004041950	Other	CT	BEH HLTH PARTNERSHIP INPT
95B	Other	CT	BLUE CROSS
004041950	Other	CT	SAGA INPT
00428753	Medicaid	NY
2035717	Other	CT	CIGNA BEHAVIORHAL HEALTH
95G	Other	CT	BC FAMILYPLAN
95G	Other	CT	ANTHEM BEH HEALTH

Other names 1

The Hospital of Central Connecticut Doing business as

Electronic endpoints 1

Type	Endpoint	Use	Affiliation
CONNECT URL	https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service	Other

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1508928615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522016",
            "telephone_number": "860-224-5011",
            "fax_number": "860-224-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522016",
            "telephone_number": "860-224-5011",
            "fax_number": "860-224-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "JANATKA",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-224-5900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEH HLTH PARTNERSHIP OP",
            "identifier": "004025243",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092132700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE INSURANCE",
            "identifier": "900050",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET INSURANCE",
            "identifier": "IV1010",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADV BEH HEALTH",
            "identifier": "CTGA001016",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE",
            "identifier": "H02258",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAGA OUTPT",
            "identifier": "004025243",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICARE",
            "identifier": "344791",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4025243",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4041950",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEH HLTH PARTNERSHIP INPT",
            "identifier": "004041950",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "95B",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAGA INPT",
            "identifier": "004041950",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00428753",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORHAL HEALTH",
            "identifier": "2035717",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FAMILYPLAN",
            "identifier": "95G",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BEH HEALTH",
            "identifier": "95G",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Hospital of Central Connecticut",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Hospital of Central Connecticut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.