Organization Active NPI

Harriott Home Health Services,LLC

Doing business as Harriott Home Health

  • Home Health Agency
  • Hartford, CT
National Provider Identifier
1811327927
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9915732 Issued in CT
Legal business name
HARRIOTT HOME HEALTH SERVICES,LLC
Doing business as
Harriott Home Health
Practice address
10 Love Lane
Hartford, CT 06112
Phone
(860) 904-9045
Fax
(860) 519-5234
NPI assigned
Nov 26, 2013
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Mrs. Sasa HarriottNPI 1477311223
Title
Administrator
Phone
(860) 904-9045

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9915732 CT Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

10 Love Lane
Hartford, CT 06112

Mailing address

10 Love Lane
Hartford, CT 06112
Phone (860) 904-9045

Other identifiers 1

IdentifierTypeStateIssuer
077263MedicaidCT

Other names 1

  • Harriott Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140212001203 CT Part A Provider - Home Health Agency 6901035054 Practice locations: Hartford, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811327927. Details of each certification follow.

Home health agency certification: CCN 077263

Legal name
HARRIOTT HOME HEALTH SERVICES,LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 17, 2014
Last certification
Jul 17, 2014
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 24, 2012 in CT
Enrollment address
10 Love LN
Hartford, CT 06112-1614
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Harriott Home Health Services LLCCCN 077263 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jul 17, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2070337Harriott Home Health10 Love Lane, Hartford, CT 06112Certificate of waiverJul 12, 2028

National Provider Directory

National Provider Directory

Locations

1 Congress St
Hartford, CT 06114
Phone (860) 904-9045

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
Sasa Harriett Individual 5% Or Greater Direct Ownership Interest Jun 1, 2012 100%
Corporate Director Jun 1, 2011
Operational/Managerial Control Jun 1, 2012

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1811327927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LOVE LANE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06112",
            "telephone_number": "860-904-9045",
            "fax_number": "860-519-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LOVE LANE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06112",
            "telephone_number": "860-904-9045",
            "fax_number": "860-519-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIOTT HOME HEALTH SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "HARRIOTT",
        "authorized_official_first_name": "SASA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-904-9045",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "9915732",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077263",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harriott Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harriott Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.