NPIMap

Organization Active NPI

SVMC Holdings, Inc

  • General Acute Care Hospital
  • Bridgeport, CT
National Provider Identifier
1942224696
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0057 Issued in CT
Legal business name
SVMC HOLDINGS, INC
Practice address
2800 Main St
Bridgeport, CT 06606-4201
Phone
(203) 576-5551
Fax
(206) 576-5345
NPI assigned
Jul 26, 2006
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Roseann Slywka
Title
Director of PT. Financial Services
Phone
(475) 210-5291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0057 CT Primary

Addresses

Primary practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

2800 Main St
Bridgeport, CT 06606-4201
Phone (203) 576-5551

Other identifiers 2

IdentifierTypeStateIssuer
004041893MedicaidCT
004025185MedicaidCT

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191031002640 CT Part A Provider - Hospital 5294066874 Practice locations: Stamford, CT; Shelton, CT; Norwalk, CT; Stratford, CT; Trumbull, CT; West Haven, CT; Westport, CT; Milford, CT…
O20211116000531 CT Part B Supplier - Clinic/Group Practice 5294066874 Receives reassigned benefits from 33 practitioners
Practice locations: Bridgeport, CT; Fairfield, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942224696. Details of each certification follow.

Hospital certification: CCN 070028

Legal name
SVMC HOLDINGS, INC
Doing business as
ST VINCENT'S MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 17, 2020
Beds
397
Ownership / control type
Private (not for profit)
Most recent change of ownership
Oct 1, 2019 (7 total)
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 2019 in CT
Enrollment address
2800 Main St
Bridgeport, CT 66064201
Main/Primary Hospital Location
Hospital subgroups
General

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St Vincent's Medical CenterCCN 070028 · 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

National Provider Directory

National Provider Directory

Locations

2420 Samaritan Dr
San Jose, CA 95124
Phone (408) 369-5600

2396 Main St
Bridgeport, CT 06606
Phone (203) 362-3920

2800 Main St
#1
Bridgeport, CT 06606

1262 Post Rd
Fairfield, CT 06824
Phone (203) 259-3440

3135 Easton Tpke
Fairfield, CT 06825
Phone (203) 576-5000

4185 Black Rock Tpke
Ste 101
Fairfield, CT 06824
Phone (203) 255-4545

4185 Black Rock Tpke
Ste 102
Fairfield, CT 06824
Phone (203) 255-4545

205 Sub Way
Ste 100
Milford, CT 06461
Phone (475) 210-4810

401 Monroe Tpke
Ste 100
Monroe, CT 06468

1 Lois St
Norwalk, CT 06851
Phone (203) 221-8893

40 Cross St
Ste 200A
Norwalk, CT 06851
Phone (203) 845-2160

1025 Silas Deane Hwy
Ste 101
Wethersfield, CT 06109
Phone (877) 707-4442

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Patrick Toole Individual Corporate Director Jun 1, 2023
Strick J Woods Individual Corporate DirectorBoard of Director Oct 1, 2019
Christopher Given Individual Corporate OfficerVP of Finance Jun 1, 2023
Corporate DirectorVP of Finance Jun 1, 2023
W-2 Managing EmployeeVP of Finance Jun 1, 2023
Operational/Managerial Control Jun 1, 2023
Lucia a Teixeira Individual Corporate DirectorBoard of Director Oct 1, 2019
Peter R Cimino Individual Corporate Director Jun 1, 2023
Carol Birks Individual Corporate DirectorBoard of Director Oct 1, 2019
Robin Cautin Individual Corporate Director Jun 1, 2023
Rahul Gupta Individual Corporate Director Jun 1, 2023
Douglas Grabe Individual Corporate Director Jun 1, 2023
Hartford Healthcare Corporation Organization, Hartford, CT Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
George Estrada Individual Corporate DirectorBoard of Director Oct 1, 2019
Debra Liebowitz Individual Corporate Director Jun 1, 2023
Dara Thomas Richards Individual Corporate DirectorBoard of Director Oct 1, 2019
Rina Bakalar Individual Corporate DirectorBoard of Director Jun 26, 2024
Jane Manning Individual Corporate Director Jun 1, 2023

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 17

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

View all 17

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 56

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 56

Affiliated clinicians 692

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

View all 692

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1942224696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5551",
            "fax_number": "206-576-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5551",
            "fax_number": "206-576-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVMC HOLDINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "SLYWKA",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_title_or_position": "DIRECTOR OF PT. FINANCIAL SERVICES",
        "authorized_official_telephone_number": "475-210-5291"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "0057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004041893",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004025185",
            "state": "CT"
        }
    ],
    "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",
            "affiliationName": "Cobius Healthcare Solutions",
            "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 Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.