Active NPI
Hartford Healthcare Independence at Home
- Case Management Agency
- Wethersfield, CT
National Provider Identifier
1609890284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 790049 | Other | CT | CONNECTICARE |
| 253 | Other | CT | ANTHEM BCBS |
| 2V5229 | Other | CT | HEALTH NET |
| 004042750 | Medicaid | CT | |
| 253 | Other | CT | BLU CARE FAMILY PLAN |
| A471833 | Other | CT | OXFORD |
| 004073268 | Other | CT | CT COMMUNITY CARE INC |
| 004130407 | Other | CT | CT HONE CARE PROGRAM |
Other names 1
- VNA Health Resources
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community Based Hospice Care Agency
- Wethersfield, CT
- NPI 1548283674
Member Of
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
- Tara Anne Halpin, AGACNP
- Harford Clinical Associates, PC (Hartford Specialists)
- Harmony of Change LLC (Synergy Homecare of Wethersfield)
- Hartford Healthcare at Home, Inc
- Hartford Healthcare at Home, Inc
- Hartford Healthcare Medical Group Specialists, LLC
- Hartford Healthcare Medical Group, Inc (Hartford HealthCare Medical Group)
- Hartford Healthcare Medical Group, Inc
- Hartford Healthcare Medical Group, Inc
- Kevin Harward, LCSW
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.