Organization Active NPI

Visiting Nurse Services Inc. of Southern Connecticut

  • Home Health Agency
  • Hamden, CT
National Provider Identifier
1891745196
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
C9815510 Issued in CT
Legal business name
VISITING NURSE SERVICES INC. OF SOUTHERN CONNECTICUT
Practice address
24 Scott Street
Hamden, CT 06514
Phone
(203) 281-5500
Fax
(203) 287-1203
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Kathleen Danler
Title
President
Phone
(203) 281-5500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X C9815510 CT Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

24 Scott Street
Hamden, CT 06514

Mailing address

24 Scott Street
Hamden, CT 06514
Phone (203) 281-5500

Other identifiers 2

IdentifierTypeStateIssuer
004189016MedicaidCT
004190211OtherCTCHC PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030820000028 CT Part A Provider - Home Health Agency 0840101366 Practice locations: Hamden, CT

Home health agency certification: CCN 077225

Legal name
VISITING NURSE SERVICES INC OF SOUTHERN CONNECTICUT
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 2, 1998
Last certification
Oct 19, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 23, 1997 in CT
Enrollment address
24 Scott St
Hamden, CT 06514-4029
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Visiting Nurse Services, Inc of So CTCCN 077225
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Oct 2, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
07D0951028Visiting Nurse Services Inc of Southern Connect24 Scott Street, Hamden, CT 06514Certificate of waiverJun 7, 2027

National Provider Directory

National Provider Directory

Locations

1 Kingston Dr
Ansonia, CT 06401
Phone (203) 734-8088

24 Scott St
Hamden, CT 06514
Phone (203) 281-5500

852 E Main St
Meriden, CT 06450
Phone (203) 686-1934

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Thomas M Schneider Individual 5% Or Greater Direct Ownership Interest Jan 1, 2012 36%
Corporate DirectorBoard Member Jan 1, 2012 36%
Kathleen Danler Individual 5% Or Greater Direct Ownership Interest Jan 1, 2012 15%
Corporate OfficerPresident Jan 1, 2012 15%
Corporate DirectorBoard Member Jan 1, 2012 15%
W-2 Managing EmployeeBoard Member Jan 1, 2012 15%
Cathie a Nizich Individual 5% Or Greater Direct Ownership Interest Jan 1, 2016 49%

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1891745196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SCOTT STREET",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "203-281-5500",
            "fax_number": "203-287-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SCOTT STREET",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "203-281-5500",
            "fax_number": "203-287-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE SERVICES INC. OF SOUTHERN CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "DANLER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-281-5500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "C9815510",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004189016",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHC PROVIDER ID",
            "identifier": "004190211",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.