Organization Active NPI

Prospect Echn Home Health, Inc.

  • Community Based Hospice Care Agency
  • Vernon, CT
National Provider Identifier
1669829990
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PROSPECT ECHN HOME HEALTH, INC.
Practice address
8 Keynote Dr
Vernon, CT 06066-5040
Phone
(860) 872-9163
Fax
(860) 872-3030
NPI assigned
May 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Robert Jon Elders
Title
Secretary
Phone
(714) 788-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

8 Keynote Dr
Vernon, CT 06066-5040

Mailing address

8 Keynote Dr
Vernon, CT 06066-5040
Phone (860) 872-9163

Other names 1

  • hospice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

8 Keynote Dr
Vernon Rockville, CT 06066
Phone (860) 545-0585

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2026 Change of OwnershipThis provider was the seller Greater Manchester Homecare, LLCCCN 071502, CT, NPI 1508736224

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1669829990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 KEYNOTE DR",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665040",
            "telephone_number": "860-872-9163",
            "fax_number": "860-872-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 KEYNOTE DR",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665040",
            "telephone_number": "860-872-9163",
            "fax_number": "860-872-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT ECHN HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "ELDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-788-1249"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hospice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.