Organization Active NPI

Pierce Memorial Baptist Home, Inc.

  • Skilled Nursing Facility
  • Brooklyn, CT
National Provider Identifier
1699799130
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
600C Issued in CT
Legal business name
PIERCE MEMORIAL BAPTIST HOME, INC.
Practice address
44 Canterbury Road
Brooklyn, CT 06234
Phone
(860) 774-9050
Fax
(860) 774-2028
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Mrs. Mary Patricia Morse
Title
President/Ceo
Phone
(203) 237-1206

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 600C CT
Skilled Nursing Facility 314000000X 600C CT Primary

Addresses

Primary practice location

44 Canterbury Road
Brooklyn, CT 06234

Mailing address

44 Canterbury Rd
Brooklyn, CT 06234-0326
Phone (860) 774-9050

Other identifiers 1

IdentifierTypeStateIssuer
000090720OtherICF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070219000547 CT Part A Provider - Skilled Nursing Facility 2668574898 Practice locations: Brooklyn, CT

Skilled nursing facility certification: CCN 075243

Legal name
PIERCE MEMORIAL BAPTIST HOME INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 31, 1974
Last certification
Jun 18, 2024
Beds
72
Ownership / control type
Nonprofit Corporation
Multi-facility organization
CONNECTICUT BAPTIST HOMES, INC
Organization structure
CorporationNon-profit
Incorporated
Jan 17, 1951 in CT
Enrollment address
44 Canterbury Rd
Brooklyn, CT 06234-1903
Nursing home name
PIERCE MEMORIAL BAPTIST HOME, INC.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pierce Memorial Baptist Home, Inc.CCN 075243
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 31, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7263.7 residents per day on average
Penalties (3 years)
1Fines totaling $12,735

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

44 Canterbury Rd
Brooklyn, CT 06234
Phone (860) 774-9050

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Micael a Crane Individual Corporate OfficerBoard Member Oct 1, 2014
Charles C Wyand Individual Corporate OfficerBoard Member Oct 1, 2014
John W Riesen Individual Corporate OfficerBoard Member-Chairman Oct 1, 2014
Mary L Apicella Individual Corporate OfficerBoard Member Oct 1, 2014
Sandra Stevens Individual Corporate OfficerSecretary of Board Oct 1, 2014
Samuel Chesser Individual Corporate OfficerBoard Member Oct 1, 2014
Robert Avena Individual Corporate OfficerBoard Member Oct 1, 2014
William R McMunn Individual Corporate OfficerBoard Member Oct 1, 2014
Mary Patricia Morse Individual Contracted Managing EmployeePresident and Ceo Mar 5, 2014
Corporate DirectorPresident/Ceo Mar 1, 2014 100%
Gregory J Thomas Individual Corporate OfficerBoard Member Oct 1, 2014
Mark D Kane Individual Corporate OfficerVice-Chair of Board Oct 1, 2014
David C Jones Individual Corporate OfficerTreasurer Oct 1, 2014
Diana S Baule Individual W-2 Managing EmployeeAccounting Jun 10, 2015
OtherAccounting Department Oct 28, 2008

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

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": "1440547200000",
    "number": "1699799130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CANTERBURY RD",
            "city": "BROOKLYN",
            "state": "CT",
            "postal_code": "062340326",
            "telephone_number": "860-774-9050",
            "fax_number": "860-774-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CANTERBURY ROAD",
            "city": "BROOKLYN",
            "state": "CT",
            "postal_code": "06234",
            "telephone_number": "860-774-9050",
            "fax_number": "860-774-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE MEMORIAL BAPTIST HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "203-237-1206",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CT",
            "license": "600C",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "600C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICF",
            "identifier": "000090720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, CT

Sources for this page

Verify at the official NPI Registry.