Seasons Hospice & Palliative Care of Connecticut, LLC
Organization Active NPI Community Based Hospice Care Agency · Middlebury, CT
NPI 1669726477 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1669726477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- SEASONS HOSPICE & PALLIATIVE CARE OF CONNECTICUT, LLC
- Practice address
- 1579 Straits Tpke
Ste 1E
Middlebury, CT 06762-1835 - Phone
- (203) 632-5356
- NPI assigned
- Oct 31, 2012
- Organization subpart
- No
Authorized official
- Name
- Heather Siscel
- Title
- VP Legal
- Phone
- (203) 490-1000
Owners & managing parties with NPI records 1
-
Leonardi Koliani, M.D.
Facilities with the same owner 114
Practitioners 11
-
Joseph Alessandro, D.O.
-
Mark J Drabinski, M.D.
-
Miguel Angel Flores, MSN, FNP
-
Rebecca Gagne Henderson, PHD, NP-C FNP ACHPN
-
Leonardi Koliani, M.D.
-
Michelle L Purcaro, MSN APRN
-
Jill M Siladi, MSN, APRN, FNP
-
Kathleen Lea Sullivan, APRN
-
Paula K Martinez, MD
Affiliated clinicians 11
-
Adedayo Adetola, M.D.
-
Syed Ali, M.D.
-
Aida Becker, MD
-
Craig M Bogdanski, D.O.
-
Rahul Gupta, M.D.
-
Leonardi Koliani, M.D.
-
Amy Lunding, M.D.
-
Hafsa Mushtaq Nawaz, M.D.
-
Pixie J Plummer, MD
Medicare Care Compare: Hospice
- Listed as
- Accentcare Hospice & Palliative Care of Conecticut
- Ownership
- For-Profit
- Certified
- May 23, 2012
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2026387 | Seasons Hospice & Palliative Care of Connecticut, | Certificate of waiver | Jun 28, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Hospice certification: CCN 071539
- Legal name
- SEASONS HOSPICE & PALLIATIVE CARE OF CONNECTICUT LLC
- Doing business as
- ACCENTCARE HOSPICE & PALLIATIVE CARE OF CONNECTICUT
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 23, 2012
- Last certification
- May 23, 2012
- Ownership / control type
- Proprietary - Other
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 17, 2012 in CT
- Enrollment address
- 1579 Straits Tpke
Ste 1E
Middlebury, CT 06762-1835
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Leonard Koliani |
W-2 Managing Employee |
Jan 14, 2016 | |
| Advent International Gpe VIII-B, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 15.1% |
| Horizon Acquisition Co Inc. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 100% |
| Advent International Gpe VIII-H, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5.5% |
| Horizon Group Holdings Intermediate 2, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 100% |
| Seasons Rollover Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 15.4% |
| Horizon Group Holdings Intermediate 1, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 100% |
| Advent International Gpe VIII-I, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5.1% |
| Horizon Group Holdings, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 100% |
| John Guess |
Corporate Officer |
Dec 14, 2023 | |
| Advent International Gpe VIII-J LP |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5% |
| Advent International Gpe VIII-B-1, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5.4% |
| Deirdre Doyle |
W-2 Managing Employee |
Aug 26, 2021 | 100% |
| Advent International Gpe VIII-B-3, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 6.3% |
| Heather Siscel |
Corporate Officer |
Aug 1, 2022 | |
| Advent International Gpe VIII-a LP |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 11.2% |
| Andrew Johnston |
Corporate Officer |
Jun 6, 2024 | |
| Accentcare, Inc. |
5% Or Greater Direct Ownership Interest | Dec 21, 2020 | 100% |
| Dena Schwartz-Doty |
Corporate Officer |
Aug 1, 2022 | |
| Pluto Acquisition I Inc |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130221000060 | CT | Part a Provider - Hospice | 0345495453 | Practice locations: Middlebury, CT; Farmington, CT |
National Provider Directory
Locations
35 Jolley Dr
Ste 202
Bloomfield, CT 06002
Phone (866) 244-2199
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | CT | Yes |
Addresses
Primary practice location
1579 Straits Tpke
Ste 1E
Middlebury, CT 06762-1835
Mailing address
6400 Shafer CT
Ste 700
Rosemont, IL 60018-4914
Phone (847) 692-1000
Other names
- AccentCare Hospice & Palliative Care of Connecticut
Other providers in Middlebury, CT
- Michael Damon Savarese
- Joanne Lora Scheid
- Jessica L Schirano
- Kailyn Schuster
- Score, LLC
- Seasons Medical Group of Connecticut PC
- Seth Robert Segall
- Senior Care Centers of Connecticut, Inc.
- Shade of Light Counseling LLC
- Erin Shaw
All providers in Middlebury, CT · Community Based Hospice Care 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 May 2, 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.