Organization Active NPI

Hartford Healthcare Independence at Home

  • Case Management Agency
  • Wethersfield, CT
National Provider Identifier
1609890284
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HARTFORD HEALTHCARE INDEPENDENCE AT HOME
Practice address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone
(860) 249-4862
Fax
(860) 493-5988
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
Laurie St. John, RN, MSN
Title
Vice President
Phone
(860) 878-4848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 249-4862

Other identifiers 8

IdentifierTypeStateIssuer
790049OtherCTCONNECTICARE
253OtherCTANTHEM BCBS
2V5229OtherCTHEALTH NET
004042750MedicaidCT
253OtherCTBLU CARE FAMILY PLAN
A471833OtherCTOXFORD
004073268OtherCTCT COMMUNITY CARE INC
004130407OtherCTCT HONE CARE PROGRAM

Other names 1

  • VNA Health Resources Former legal business name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

969 Hebron Ave
Ste 2
Glastonbury, CT 06033
Phone (860) 493-7179

103 Woodland St
Hartford, CT 06105
Phone (860) 241-0317

680 Main St
Ste 300
Watertown, CT 06795
Phone (203) 573-1231

1290 Silas Deane Hwy
Ste 4B
Wethersfield, CT 06109
Phone (860) 249-4862

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1609890284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-249-4862",
            "fax_number": "860-493-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-249-4862",
            "fax_number": "860-493-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD HEALTHCARE INDEPENDENCE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "ST. JOHN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "860-878-4848",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "790049",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "253",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2V5229",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004042750",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLU CARE FAMILY PLAN",
            "identifier": "253",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A471833",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT COMMUNITY CARE INC",
            "identifier": "004073268",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT HONE CARE PROGRAM",
            "identifier": "004130407",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNA Health Resources",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "VNA Health Resources",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.