Church Homes, Inc. Congregational

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

C9206305 Issued in CT

Legal business name

CHURCH HOMES, INC. CONGREGATIONAL

Doing business as

Avery Heights Home Health Agency

Practice address

705 New Britain Ave
Hartford, CT 06106-4039

Phone

(860) 527-4663

NPI assigned

Sep 6, 2005

Last updated

Apr 20, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

CHURCH HOMES, INC. CONGREGATIONALAs reported in NPPES

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

Authorized official

Name

Mr. Patrick J Gilland

Title

President/Ceo

Phone

(860) 527-9126

Specialties & licenses 1

Addresses

Other names 1

• Avery Heights Home Health Agency Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922092089. Details of each certification follow.

• CCN 077182 Home health agency · Active · Details

Home health agency certification: CCN 077182

Legal name

CHURCH HOMES, INC. CONGREGATIONAL

Doing business as

AVERY HEIGHTS HOME HEALTH AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 11, 1991

Last certification

Nov 27, 2019

Ownership / control type

Proprietary

Organization structure

CorporationNon-profit

Incorporated

Dec 26, 1957 in CT

Enrollment address

705 New Britain Ave
Hartford, CT 06106-4039
HHA Branch

Other NPIs with the same Medicare PAC ID 2

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

• Church Homes, Inc. Congregational

  dba Avery Heights

  • Skilled Nursing Facility
  • Hartford, CT
  • NPI 1285628594

  0547172538

  Same PAC ID
• Church Homes, Inc. Congregational

  dba Noble Horizons

  • Skilled Nursing Facility
  • Salisbury, CT
  • NPI 1487648614

  0547172538

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Church Homes, Inc. Congregational

  dba Avery Heights

  • Skilled Nursing Facility
  • Hartford, CT
  • NPI 1285628594

  O20030930000025

  Same enrollment

Listed as

Avery Heights Home Health AgencyCCN 077182 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Oct 11, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Church Homes Inc Congr2 organizations share this tax ID, including this one

Part of

Church Homes Inc Congr

Other organizations with this tax ID 1

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

• Church Homes, Inc. Congregational

  dba Noble Horizons

  • Skilled Nursing Facility
  • Salisbury, CT
  • NPI 1487648614
  NPD tax ID

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 2

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

• Church Homes, Inc. Congregational

  dba Avery Heights

  • Skilled Nursing Facility
  • Hartford, CT
  • NPI 1285628594

  5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest

  CMS ownership
• Church Homes, Inc. Congregational

  dba Noble Horizons

  • Skilled Nursing Facility
  • Salisbury, CT
  • NPI 1487648614

  5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest

  CMS ownership

Owned or controlled facilities with NPI records 1

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

• Church Homes, Inc. Congregational

  dba Avery Heights

  • Skilled Nursing Facility
  • Hartford, CT
  • NPI 1285628594

  5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest

  CMS ownership

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.

• Joseph T Anquillare Sr., M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hartford, CT
  • NPI 1316043045
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1922092089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 AVERY HTS",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061064271",
            "telephone_number": "860-527-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 NEW BRITAIN AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061064039",
            "telephone_number": "860-527-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH HOMES, INC. CONGREGATIONAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHURCH HOMES, INC. CONGREGATIONAL",
        "enumeration_date": "2005-09-06",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "GILLAND",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "860-527-9126",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "C9206305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avery Heights Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thaddeus Hunter Chuchla, DO
• Chike V Chukwumah, MD
• Jin Ho Chung, M.D.
• Juyong Chung, DMD
• Church Homes, Inc. Congregational (Avery Heights)
• Andrea Lee Churchill
• Elizabeth Marion Churchill, RD
• Leslie Ciarleglio, M.S., C.G.C
• Julia Ciarlo, MD
• Ryan Ciarlo, MD

• Home Health Agency in Hartford, CT
• Providers in Hartford, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.