NPIMap

Organization Active NPI

Saint Mary Home, Incorporated

  • Skilled Nursing Facility
  • West Hartford, CT
National Provider Identifier
1851402382
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
680C Issued in CT
Legal business name
SAINT MARY HOME, INCORPORATED
Practice address
2021 Albany Ave
West Hartford, CT 06117-2755
Phone
(860) 570-8200
Fax
(860) 570-8293
NPI assigned
Aug 31, 2006
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Ms. Pamela Latovick
Title
VP Reimbursement
Phone
(734) 343-6628

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 28-RH CT
Skilled Nursing Facility 314000000X 680C CT Primary

Addresses

Primary practice location

2021 Albany Ave
West Hartford, CT 06117-2755

Mailing address

2021 Albany Ave
West Hartford, CT 06117-2755
Phone (860) 570-8200

Other identifiers 2

IdentifierTypeStateIssuer
000006809MedicaidCT
000090282MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817001029 CT Part A Provider - Skilled Nursing Facility 5092788026 Practice locations: West Hartford, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851402382. Details of each certification follow.

Skilled nursing facility certification: CCN 075085

Legal name
SAINT MARY HOME INCORPORATED
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Nov 12, 2024
Beds
256
Ownership / control type
Nonprofit Corporation
Multi-facility organization
TRINITY HEALTH SENIOR COMMUNITIES
Organization structure
CorporationNon-profit
Incorporated
Aug 6, 1902 in CT
Enrollment address
2021 Albany Ave
West Hartford, CT 06117-2789
Nursing home name
SAINT MARY HOME
Affiliated entity
TRINITY HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Saint Mary HomeCCN 075085 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
256199.0 residents per day on average
Chain
Trinity Health19 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Saint Mary Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Gagandeep Singh Individual Corporate DirectorDirector Jan 1, 2022
Trinity Continuing Care Services Organization, Livonia, MI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%
Marcus a Bowens Individual Corporate OfficerCfo and Treasurer Mar 1, 2022
Ann Kane Individual Corporate DirectorBoard Member Jan 1, 2022
Patrick J. Johnson Individual Corporate DirectorBoard Chair Dec 31, 2011
Patricia Marie McKeon Individual Corporate DirectorBoard Member Jan 1, 2022
Shyamala Raman Individual Corporate DirectorBoard Member Jan 1, 2022
Mercy Community Health Inc. Organization, West Hartford, CT Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1997 100%
Mark D. Walker Individual Corporate DirectorDirector May 31, 2011
Janice a Hamilton-Crawford Individual Corporate OfficerPresident and Ceo Jun 5, 2022
Corporate DirectorBoard Member Ex-Offico Jan 1, 2022
Pamela S Latovick Individual Corporate DirectorVP Reimbursement Jul 1, 2016
W-2 Managing EmployeeVP Reimbursement Jul 1, 2016
Trinity Health Corporation Organization, Livonia, MI Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2013 100%
Rachael L Demaida Individual W-2 Managing EmployeeAdministrator Jan 1, 2022
Peter Murphy Individual Corporate DirectorBoard Secretary/Treasurer May 31, 2013

Owners & managing parties with NPI records 4

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

Facilities with the same owner 161

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

View all 161

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1851402382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 ALBANY AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172755",
            "telephone_number": "860-570-8200",
            "fax_number": "860-570-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 ALBANY AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172755",
            "telephone_number": "860-570-8200",
            "fax_number": "860-570-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY HOME, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "LATOVICK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "734-343-6628",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CT",
            "license": "28-RH",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "680C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000006809",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000090282",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.