NPIMap

Organization Active NPI

Visiting Nurse & Hospice of Fairfield County, Inc.

  • Home Health Agency
  • Wilton, CT
National Provider Identifier
1720080690
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
C81891 Issued in CT
Legal business name
VISITING NURSE & HOSPICE OF FAIRFIELD COUNTY, INC.
Practice address
22 Danbury Road
Wilton, CT 06897
Phone
(203) 762-8958
Fax
(203) 761-8889
NPI assigned
Aug 11, 2005
Last updated
Oct 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Sharon Bradley
Title
President & Ceo
Phone
(203) 762-8958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X C81891 CT Primary

Addresses

Primary practice location

22 Danbury Road
Wilton, CT 06897

Mailing address

PO Box 489
Wilton, CT 06897
Phone (203) 762-8958

Other identifiers 1

IdentifierTypeStateIssuer
004042982MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100701000217 CT Part A Provider - Home Health Agency 2769544170 1 other NPI on this enrollment
Practice locations: Wilton, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720080690. Details of each certification follow.

Home health agency certification: CCN 077074

Legal name
VISITING NURSE & HOSPICE OF FAIRFIELD COUNTY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Nov 21, 2011
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
May 1, 1939 in CT
Enrollment address
22 Danbury Rd
Ste 1
Wilton, CT 06897-4307

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Visiting Nurse & Hospice of Fairfield County, IncCCN 077074 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

761 Main Ave
Ste 114
Norwalk, CT 06851
Phone (203) 762-5958

22 Danbury Rd
Ste 1
Wilton, CT 06897
Phone (203) 762-8958

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Peter Marsico Individual W-2 Managing EmployeeController Oct 29, 2021
Leo Karl Individual Corporate DirectorChairman, Board of Directors Jan 1, 2018
David L Hunt Individual Corporate DirectorTreasurer, Board of Directors Jan 1, 2019
Waveny Lifecare Network Inc Organization, New Canaan, CT Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 31, 2020 100%
Marian Curtis Blair Individual Corporate DirectorSecretary, Board of Directors Jan 1, 2019
Kenneth Rone Baldwin Individual Corporate DirectorVice Chair, Board of Directors Jan 1, 2019
Russell Robert Barksdale Individual Corporate OfficerPresident and Ceo Dec 31, 2020 100%

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 73

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

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1720080690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "06897",
            "telephone_number": "203-762-8958",
            "fax_number": "203-761-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DANBURY ROAD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "06897",
            "telephone_number": "203-762-8958",
            "fax_number": "203-761-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE & HOSPICE OF FAIRFIELD COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "203-762-8958"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "C81891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004042982",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

Verify at the official NPI Registry.