NPIMap

Organization Active NPI

The Connecticut Hospice, Inc.

  • Community Based Hospice Care Agency
  • Branford, CT
National Provider Identifier
1982879367
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
THE CONNECTICUT HOSPICE, INC.
Practice address
100 Double Beach Rd
Branford, CT 06405-4909
Phone
(203) 315-7500
Fax
(203) 315-7614
NPI assigned
Apr 25, 2008
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Mary Rose Gilhuly
Title
Chief Financial Officer
Phone
(203) 315-7633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

100 Double Beach Rd
Branford, CT 06405-4909

Mailing address

100 Double Beach Rd
Branford, CT 06405-4909
Phone (203) 315-7500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050713000127 CT Part A Provider - Hospice 7810960747 Practice locations: Branford, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982879367. Details of each certification follow.

Hospice certification: CCN 071500

Legal name
THE CONNECTICUT HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 1, 1984
Last certification
May 25, 2022
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Dec 1, 1971 in CT
Enrollment address
100 Double Beach Rd
Branford, CT 06405-4909

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: Hospice

Medicare Care Compare
Listed as
Connecticut Hospice Inc, theCCN 071500 · All quality measures
Ownership
Other
Certified
Oct 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
The Connecticut Hospice Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Suzanne P Lagarde Individual Corporate DirectorBoard Member Oct 1, 2024
William Kosturko Individual Corporate OfficerPresident, Board of Directors Oct 1, 2024
Robin Kanarek Individual Corporate Director Oct 1, 2024
John Williams Individual Corporate DirectorBoard Member Oct 1, 2024
Tracey C Foley Individual W-2 Managing EmployeeDirector of Billing & Reimbursem Mar 26, 2019 100%
Operational/Managerial ControlDirector of Billing & Reimbursem Mar 26, 2019 100%
Patricia Baker Individual Corporate DirectorBoard Member Oct 1, 2024
Anthony Brockman Individual Corporate DirectorBoard Member Oct 1, 2024
Christopher P Comfort Individual Corporate DirectorBoard Member Oct 1, 2024
Edwin V Selden Individual Corporate OfficerSecretary, Board of Directors Oct 1, 2024
Harwood B Comstock Individual Corporate DirectorBoard Member Oct 1, 2024
Andrew Alden Individual Corporate OfficerTreasurer, Board of Directors Oct 1, 2024
Jeffrey Weber Individual Corporate DirectorBoard Member Oct 1, 2024
Joseph Peter Sacco Individual W-2 Managing EmployeeMedical Director Mar 26, 2019 100%
Operational/Managerial ControlMedical Director Mar 26, 2019 100%
Kathleen L Sims Individual Corporate OfficerChief Operating Officer Jun 12, 2023
W-2 Managing EmployeeChief Operating Officer Jun 12, 2023
Christine Camilleri Individual W-2 Managing EmployeeDirector of Billing & Reimbursement Sep 10, 2024
Thomas Candrick Individual Corporate DirectorBoard Member Oct 1, 2024
Mary R Gilhuly Individual Corporate OfficerChief Financial Officer Jan 15, 2024
Kamila Brettman Individual Corporate DirectorController Jun 12, 2022
The Connecticut Hospice Inc Organization, Branford, CT Non-profit Operational/Managerial Control Oct 1, 2023
Sylvia Allais Individual Corporate OfficerPresident & Ceo Jan 6, 2025 100%
W-2 Managing Employee Jan 6, 2025 100%
Operational/Managerial ControlPresident & Ceo Jan 6, 2025 100%
Edo Banach Individual Corporate DirectorBoard Member Oct 1, 2024

Owners & managing parties with NPI records 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1982879367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOUBLE BEACH RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054909",
            "telephone_number": "203-315-7500",
            "fax_number": "203-315-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOUBLE BEACH RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054909",
            "telephone_number": "203-315-7500",
            "fax_number": "203-315-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONNECTICUT HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "GILHULY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-315-7633"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.