NPIMap

Organization Active NPI

Interim Healthcare of Hartford, Inc.

  • Home Health Agency
  • Farmington, CT
National Provider Identifier
1790763126
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
C853511 Issued in CT
Legal business name
INTERIM HEALTHCARE OF HARTFORD, INC.
Practice address
231 Farmington Ave
Farmington, CT 06032-1915
Phone
(860) 677-0005
Fax
(860) 606-9713
NPI assigned
Jan 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Paul Anthony PisanoNPI 1447459045
Title
Ceo
Phone
(860) 470-8855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X C853511 CT Primary

Addresses

Primary practice location

231 Farmington Ave
Farmington, CT 06032-1915

Mailing address

231 Farmington Ave
1St Floor
Farmington, CT 06032-1915
Phone (860) 677-0005

Other identifiers 1

IdentifierTypeStateIssuer
004044830MedicaidCT

Other names 1

  • Interim HealthCare of Hartford, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316000219 CT Part A Provider - Home Health Agency 3072602390 Practice locations: Farmington, CT

Home health agency certification: CCN 077134

Legal name
INTERIM HEALTHCARE OF HARTFORD, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 19, 1981
Last certification
Nov 14, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 18, 1985 in CT
Enrollment address
231 Farmington Ave
Farmington, CT 06032-1915
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Interim Healthcare of Hartford, IncCCN 077134
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Feb 19, 1981
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

231 Farmington Ave
Fl 3
Farmington, CT 06032
Phone (888) 344-3893

231 Farmington Ave
Fl 1
Farmington, CT 06032

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Paul a Pisano Individual 5% Or Greater Direct Ownership Interest Jan 2, 2026 100%
Corporate OfficerCeo Oct 15, 2016 100%
Corporate DirectorCeo Oct 15, 2016
W-2 Managing Employee Oct 15, 2016
Operational/Managerial ControlCeo Oct 15, 2016

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1790763126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 FARMINGTON AVE",
            "address_2": "1ST FLOOR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321915",
            "telephone_number": "860-677-0005",
            "fax_number": "860-677-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321915",
            "telephone_number": "860-677-0005",
            "fax_number": "860-606-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF HARTFORD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "PISANO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-470-8855"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "C853511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004044830",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Hartford, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.