NPIMap

Organization Active NPI

The Charlotte Hungerford Hospital

  • General Acute Care Hospital
  • Torrington, CT
National Provider Identifier
1629075734
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
6609408-000 Issued in CT
Legal business name
THE CHARLOTTE HUNGERFORD HOSPITAL
Practice address
540 Litchfield St
Torrington, CT 06790
Phone
(860) 496-6729
Fax
(860) 496-6753
NPI assigned
Jul 5, 2005
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Mrs. Susan M Schapp
Title
Cfo
Phone
(860) 496-6728

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CT
General Acute Care Hospital 282N00000X 6609408-000 CT Primary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

540 Litchfield St
Torrington, CT 06790

Mailing address

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6729

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040128000183 CT Part B Supplier - Clinic/Group Practice 4486557501 Receives reassigned benefits from 461 practitioners
Practice locations: Torrington, CT; Winsted, CT; Thomaston, CT; Avon, CT
O20071126000048 CT Part A Provider - Hospital 4486557501 Practice locations: Winsted, CT; Thomaston, CT; Torrington, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629075734. Details of each certification follow.

Hospital certification: CCN 070011

Legal name
THE CHARLOTTE HUNGERFORD HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 18, 2007
Beds
109
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 21, 1917 in CT
Enrollment address
540 Litchfield St
Torrington, CT 67906679
Hospital subgroups
Acute care, Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Charlotte Hungerford HospitalCCN 070011 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

435 Lewis Ave
Ste 201
Meriden, CT 06451
Phone (203) 238-4488

131 Main St
Ste 105B
Thomaston, CT 06787

76 Watertown Rd
Ste 2
Thomaston, CT 06787

1061 E Main St
Torrington, CT 06790
Phone (860) 489-3391

1914 E Main St
Torrington, CT 06790
Phone (860) 278-0070

1914 E Main St
Ste 101
Torrington, CT 06790
Phone (860) 626-8232

50 Litchfield St
Torrington, CT 06790
Phone (860) 489-3391

538 Litchfield St
Ste 102
Torrington, CT 06790
Phone (860) 456-4455

538 Litchfield St
Ste 103
Torrington, CT 06790
Phone (860) 489-5148

538 Litchfield St
Ste 201
Torrington, CT 06790
Phone (860) 489-7017

538 Litchfield St
Ste 203
Torrington, CT 06790
Phone (860) 496-0333

540 Litchfield St
#100
Torrington, CT 06790

540 Litchfield St
Fl 6
Torrington, CT 06790
Phone (860) 496-6825

540 Litchfield St
Ste 100
Torrington, CT 06790

76 Water St
Torrington, CT 06790

76 Water St
Ste G
Torrington, CT 06790

780 Litchfield St
Ste 300
Torrington, CT 06790

79 Water St Ste G
Torrington, CT 06790

200 New Hartford Rd
Ste 11
Winsted, CT 06098
Phone (860) 738-3398

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cathy-Lynne Coyle Individual Corporate DirectorBoard of Director Jan 5, 2024
Stefanie L Durstin Individual Corporate DirectorBoard Director Jan 5, 2024
Maria Gonzalez Individual Corporate Director Jan 5, 2024
John Janco Individual Corporate DirectorBoard of Directors Jan 1, 2020
Rebecca Johannes Individual Corporate Director Jan 1, 2023
W-2 Managing Employee Jan 1, 2023
Rocco Orlando Individual Corporate DirectorBoard of Directors Jan 1, 2018
Maria Coutant Skinner Individual Corporate Director Jan 5, 2024
Robert L Lindenberg Individual Corporate Director Jan 5, 2024
John Lavieri Individual Corporate DirectorBoard of Directors Jan 1, 2020
Aaron Mambrino Individual Corporate Director Jan 5, 2024
Bimal Patel Individual Corporate DirectorBoard Member Jan 1, 2022
Joseph E Abreu Individual Corporate DirectorBoard of Director Jan 5, 2024
Cheryl Considine Individual Corporate Director Nov 2, 2022
W-2 Managing Employee Dec 2, 2005
Hartford Healthcare Corporation Organization, Hartford, CT Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2018 100%
Diane Libby Individual Corporate DirectorBoard of Directors Jan 1, 2020
Jeffrey Borghesi Individual Corporate DirectorBoard of Directors Jan 1, 2020

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Practitioners 535

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.

View all 535

Affiliated clinicians 432

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 432

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1629075734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6729",
            "fax_number": "860-496-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "06790",
            "telephone_number": "860-496-6729",
            "fax_number": "860-496-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLOTTE HUNGERFORD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "SCHAPP",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-496-6728",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "6609408-000",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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",
            "affiliationName": "Cobius Healthcare Solutions",
            "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": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.