The Connecticut Hospice, Inc.
Organization Active NPI Community Based Hospice Care Agency · Branford, CT
NPI 1982879367 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1982879367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 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
- Organization subpart
- No
Authorized official
- Name
- Mary Rose Gilhuly
- Title
- Chief Financial Officer
- Phone
- (203) 315-7633
Owners & managing parties with NPI records 5
-
Suzanne P Lagarde, M.D.
-
Christopher P Comfort, M.D.
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Practitioners 2
-
Nicole Barbarotta, APRN
-
Zina I Crescenzi, APRN
Affiliated clinicians 23
-
Sanjay K Aggarwal, M.D
-
Alina R. Alfirii, MD
-
Horatiu C. Balas, M.D.
-
Joseph Balsamo, M.D.
-
Ann R Datunashvili, M.D.
-
Serle Mindell Epstein, M.D.
-
Asefeh Heiat, M.D., M.P.H.
-
Lynne Hillis, M.D.
-
Iwona Lacka, M.D
-
Yung Ah Lee, M.D.
-
Paul Anthony Monaco, M.D.
-
Hafsa Mushtaq Nawaz, M.D.
-
Paula Andrea Ortiz, M.D.
-
Saeeda Qadri, M.D.
-
Muziana S Quadir, MD
-
Dharini Sun, M.D.
-
Anu Walaliyadda, M.D.
-
Lena Wu Rivas, M.D.
-
Margaret M Xu, MD
Medicare Care Compare: Hospice
- Listed as
- Connecticut Hospice Inc, the
- Ownership
- Other
- Certified
- Oct 1, 1984
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
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
- Corporation · Non-profit
- Incorporated
- Dec 1, 1971 in CT
- Enrollment address
- 100 Double Beach Rd
Branford, CT 06405-4909
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Suzanne P Lagarde |
Corporate Director |
Oct 1, 2024 | |
| William Kosturko |
Corporate Officer |
Oct 1, 2024 | |
| Robin Kanarek |
Corporate Director | Oct 1, 2024 | |
| John Williams |
Corporate Director |
Oct 1, 2024 | |
| Tracey C Foley |
W-2 Managing Employee |
Mar 26, 2019 | 100% |
| Operational/Managerial Control |
Mar 26, 2019 | 100% | |
| Patricia Baker |
Corporate Director |
Oct 1, 2024 | |
| Anthony Brockman |
Corporate Director |
Oct 1, 2024 | |
| Christopher P Comfort |
Corporate Director |
Oct 1, 2024 | |
| Edwin V Selden |
Corporate Officer |
Oct 1, 2024 | |
| Harwood B Comstock |
Corporate Director |
Oct 1, 2024 | |
| Andrew Alden |
Corporate Officer |
Oct 1, 2024 | |
| Jeffrey Weber |
Corporate Director |
Oct 1, 2024 | |
| Joseph Peter Sacco |
W-2 Managing Employee |
Mar 26, 2019 | 100% |
| Operational/Managerial Control |
Mar 26, 2019 | 100% | |
| Kathleen L Sims |
Corporate Officer |
Jun 12, 2023 | |
| W-2 Managing Employee |
Jun 12, 2023 | ||
| Christine Camilleri |
W-2 Managing Employee |
Sep 10, 2024 | |
| Thomas Candrick |
Corporate Director |
Oct 1, 2024 | |
| Mary R Gilhuly |
Corporate Officer |
Jan 15, 2024 | |
| Kamila Brettman |
Corporate Director |
Jun 12, 2022 | |
| The Connecticut Hospice Inc |
Operational/Managerial Control | Oct 1, 2023 | |
| Sylvia Allais |
Corporate Officer |
Jan 6, 2025 | 100% |
| W-2 Managing Employee | Jan 6, 2025 | 100% | |
| Operational/Managerial Control |
Jan 6, 2025 | 100% | |
| Edo Banach |
Corporate Director |
Oct 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050713000127 | CT | Part a Provider - Hospice | 7810960747 | Practice locations: Branford, CT |
National Provider Directory
- Tax ID family
- The Connecticut Hospice Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008004671 | Medicaid | CT |
Other providers in Branford, CT
- Temple PT & Life Sciences
- Andrew E Thane
- The Connecticut Hospice, Inc
- The Connecticut Hospice, Inc
- The Connecticut Hospice, Inc.
- The Eye Care Group, PC
- The Hearth at Gardenside
- The Orthopaedic Group, LLC
- The Stop & Shop Supermarket Company LLC
- Nora A. Therrien
All providers in Branford, CT · Community Based Hospice Care Agency in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.