NPIMap

Organization Active NPI

Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
National Provider Identifier
1902834880
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0046 Issued in CT
Legal business name
HARTFORD HOSPITAL
Practice address
80 Seymour St
Hartford, CT 06102-8000
Phone
(860) 696-6010
Fax
(860) 696-6190
NPI assigned
Jun 29, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mr. Gerald Boisvert
Title
VP, Cfo
Phone
(860) 545-0585

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X
General Acute Care Hospital 282N00000X 0046 CT Primary

Addresses

Primary practice location

80 Seymour St
Hartford, CT 06102-8000

Mailing address

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 696-6010

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031125000752 CT Part B Supplier - Clinic/Group Practice 2567366016 Receives reassigned benefits from 1,348 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20071219000088 CT Part A Provider - Hospital 2567366016 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
O20180726001184 CT Part A Provider - Hospital 2567366016 Practice locations: Hartford, CT

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1902834880. Details of each certification follow.

Hospital certification: CCN 070025

Legal name
HARTFORD HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 22, 2015
Beds
819
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 1, 1854 in CT
Enrollment address
80 Seymour St
Hartford, CT 61028000
Hospital subgroups
General, Rehabilitation unit

Hospital certification: CCN 07T025

Legal name
HARTFORD HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
May 1, 1854 in CT
Enrollment address
80 Seymour St
6TH Floor, Conklin Building
Hartford, CT 61028000
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Hartford HospitalCCN 070025 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Hartford Hospital Inpatient Rehab FacilityCCN 07T025 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 2018

National Provider Directory

National Provider Directory

Locations

3828 Schaufele Ave
Ste 200
Long Beach, CA 90808
Phone (657) 241-8990

132 Jefferson St
Fl 3
Hartford, CT 06106
Phone (860) 972-9300

80 Seymour St
Ste 511A
Hartford, CT 06106

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
Gerald Boisvert Individual Corporate Officer Apr 1, 2013
Corporate DirectorSenior Vice President Apr 1, 2013
Corporate OfficerVice President - Cfo Oct 23, 2013
W-2 Managing EmployeeVice President - Cfo Oct 23, 2013
Operational/Managerial ControlVice President - Cfo Oct 23, 2013
Eric Zachs Individual Corporate DirectorBoard Member Jul 1, 2015
Sean M Curtin Individual Corporate Officer Aug 1, 2022
Corporate DirectorVice President Finance Aug 1, 2022
Bimal Patel Individual Corporate OfficerPresident Oct 1, 2017
Operational/Managerial ControlPresident Oct 1, 2017
Matthew L Saidel Individual Corporate DirectorBoard Member Jul 1, 2015
Arnold Case Individual Corporate DirectorBoard of Directors Feb 1, 2021
Brian Maclean Individual Corporate DirectorBoard of Directors Feb 1, 2021
Alexia Cruz Individual Corporate DirectorBoard Member Jul 1, 2016
Samuel S. Gray Individual Corporate DirectorBoard of Directors Jan 1, 2020
Hartford Healthcare Corporation Organization, Hartford, CT Non-profit 5% Or Greater Direct Ownership Interest Dec 17, 1996 100%
Operational/Managerial Control Jan 1, 2008
E Carol Polifroni Individual Corporate DirectorBoard Member Jul 1, 2015
Christine Erikson Individual Corporate Officer Feb 17, 2020
Corporate DirectorDirector of Finance Feb 17, 2020
Dariush Owlia Individual Corporate DirectorBoard Member Jul 1, 2015
Elease Wright Individual Corporate DirectorBoard of Directors Feb 1, 2021

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hartford HospitalHartford, CT, CCN 07S025 Hospital Operational/Managerial Control (100%) Jul 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 550

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.

View all 550

Affiliated clinicians 2,344

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,344

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1902834880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-696-6010",
            "fax_number": "860-696-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-696-6010",
            "fax_number": "860-696-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "BOISVERT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "860-545-0585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "0046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.