NPIMap

Organization Active NPI

Day Kimball Healthcare, Inc.

Doing business as Hospice and Palliative Care of Northeastern Connecticut

  • Community Based Hospice Care Agency
  • Putnam, CT
National Provider Identifier
1801972450
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
C9714710 Issued in CT
Legal business name
DAY KIMBALL HEALTHCARE, INC.
Doing business as
Hospice and Palliative Care of Northeastern Connecticut
Practice address
320 Pomfret St
Putnam, CT 06260-1836
Phone
(860) 928-0422
Fax
(860) 928-4545
NPI assigned
Oct 27, 2006
Last updated
Mar 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Mrs. Carol Emmerthal, RN MSN
Title
Director
Phone
(860) 928-0422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X C9714710 CT Primary

Addresses

Primary practice location

320 Pomfret St
Putnam, CT 06260-1836

Mailing address

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-0422

Other identifiers 5

IdentifierTypeStateIssuer
2174392002OtherCTUNITED HEALTHCARE
5541605OtherCTAETNA US HEALTHCARE
008008163MedicaidCT
621OtherCTANTHEM BLUE CROSS BLUE SH
A932151OtherCTOXFORD HEALTH PLANS

Other names 1

  • Hospice and Palliative Care of Northeastern Connecticut Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051018000054 CT Part A Provider - Hospice 5092773549 Practice locations: North Grosvenordale, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801972450. Details of each certification follow.

Hospice certification: CCN 071504A

Legal name
DAY KIMBALL HEALTHCARE, INC.
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 1996 in CT
Enrollment address
415 Riverside Dr
North Grosvenordale, CT 06255-2134

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Day Kimball HomecareCCN 071504
Ownership
Non-Profit
Certified
Dec 20, 1988
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Tax ID family
Ronald Soucier D O12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Karen Cole Individual Corporate DirectorBoard Member Jan 5, 2017
Peter Deary Individual Corporate OfficerChairman Jun 10, 2024
Joseph Alessandro Individual W-2 Managing EmployeeMD; Apr 29, 2008
Jennifer Leduc Individual Corporate Director Oct 7, 2025
W-2 Managing EmployeeAd; Oct 7, 2025
Paul a Beaudoin Individual Corporate OfficerCfo Jul 11, 2016
Corporate DirectorCfo Jul 11, 2016
Edwin C Higgins Individual Corporate OfficerBoard Member Aug 3, 2022
Jay Cyr Individual Corporate OfficerBoard Member Aug 3, 2022
Kathy Rocha Individual Corporate OfficerBoard Member Aug 3, 2022
Kyle Kramer Individual Corporate OfficerCeo Aug 3, 2020
Corporate DirectorCeo Aug 3, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1801972450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601836",
            "telephone_number": "860-928-0422",
            "fax_number": "860-928-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601836",
            "telephone_number": "860-928-0422",
            "fax_number": "860-928-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAY KIMBALL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "EMMERTHAL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-928-0422",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CT",
            "license": "C9714710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2174392002",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "5541605",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008008163",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "621",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "A932151",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice and Palliative Care of Northeastern Connecticut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Putnam, CT

Sources for this page

Verify at the official NPI Registry.