CHURCH HOMES, INC. CONGREGATIONAL


Address: 705 New Britain Ave, Hartford, CT 06106-4039
Phone: 8605279126

CHURCH HOMES, INC. CONGREGATIONAL (NPI# 1285628594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285628594
Entity Type Organization
Organization Name CHURCH HOMES, INC. CONGREGATIONAL
Other Organization Name AVERY HEIGHTS
Practice Address 705 New Britain Ave
Hartford
CT 06106-4039
Mailing Address 217 Avery Hts
Hartford
CT 06106-4271
Practice Telephone 8605279126
Mailing Telephone 8605279126
Mailing Fax Number 8605258977
Enumeration Date 2005-09-01
Last Update Date 2008-01-11
Authorized Official Name MR. PATRICK J GILLAND (PRESIDENT/CEO)
Authorized Official Telephone 8605279126
Is Organization Subpart Y
Parent Organization Name CHURCH HOMES, INC. CONGREGATIONAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 313M00000X Nursing Facility/Intermediate Care Facility 79RH CT Nursing & Custodial Care Facilities
Y 314000000X Skilled Nursing Facility 750-C CT Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CT 90795 05
CT 7500 05

Other Provider/Organization Names

Other Name Type Code
Avery Heights Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487648614 Church Homes, Inc. Congregational Nursing Facility/Intermediate Care Facility 17 Cobble Rd, Salisbury, CT 06068-1501 2005-09-02
1144214362 Church Homes, Inc. Congregational Clinic/Center 705a New Britain Ave, Hartford, CT 06106-4000 2005-09-02
1922092089 Church Homes, Inc. Congregational Home Health 705 New Britain Ave, Hartford, CT 06106-4039 2005-09-06

Office Location

Street Address 705 NEW BRITAIN AVE
City HARTFORD
State CT
Zip Code 06106-4039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447859152 Heather Avery Physical Therapist 705 New Britain Ave, Hartford, CT 06106-4039 2020-10-23
1043819857 Sean Morgan Coffey Occupational Therapy Assistant 705 New Britain Ave, Hartford, CT 06106-4039 2020-10-22
1346849346 Beata Wyszynski Occupational Therapy Assistant 705 New Britain Ave, Hartford, CT 06106-4039 2020-10-21
1558960559 Jessica Spadoni Physical Therapy Assistant 705 New Britain Ave, Hartford, CT 06106-4039 2020-10-21
1437765518 Sarah Margaret Lauretti Occupational Therapist 705 New Britain Ave, Hartford, CT 06106-4039 2020-09-23
1336755503 Kristen Sasur Occupational Therapist 705 New Britain Ave, Hartford, CT 06106-4039 2020-09-22
1326553876 Donald Robert Stevenson Physical Therapist 705 New Britain Ave, Hartford, CT 06106-4039 2017-12-06
1811396617 Julie Ulkus Occupational Therapist 705 New Britain Ave, Hartford, CT 06106-4039 2014-08-18
1356751416 Jillian Coffey Occupational Therapist 705 New Britain Ave, Hartford, CT 06106-4039 2014-04-29
1760824791 Kenneth Cabatingan Physical Therapist 705 New Britain Ave, Hartford, CT 06106-4039 2013-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750907325 Vartika Kesarwani Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-19
1720602865 Meher Kaur Singha Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-04
1497314140 Eduardo Mantovani Cardoso Student in an Organized Health Care Education/Training Program Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-06-06
1114582178 Dimitrios Drekolias Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-05-06
1316501687 Rafae Shaikh Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-04-23
1437643715 Lucas Bensa Social Worker 421 Washington St., Apt C1, Hartford, CT 06106 2018-06-19
1548754310 Collin Dimler Physician Assistant 85 Seymour St Ste 1003, Hartford, CT 06106 2018-06-15
1619460581 Bryan F Stringer Student in an Organized Health Care Education/Training Program 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 2018-06-14
1083103972 Margret Sigurdardottir Blondal Student in an Organized Health Care Education/Training Program 282 Washington Street, Ste 4h, Hartford, CT 06106 2018-05-07
1265920995 Rudra Ramanathan Student in an Organized Health Care Education/Training Program 79 Retreat Ave Brown Stone, Hartford, CT 06106 2018-04-27
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134338882 Rehabcare Skilled Nursing Facility 1202 E Sumner St, Hartford, WI 53027-1600 2007-05-21
1124186523 Chelsea Place Care Center LLC Skilled Nursing Facility 25 Lorraine St, Hartford, CT 06105-2242 2006-12-05
1902964307 Trinity Hill Care Center LLC Skilled Nursing Facility 151 Hillside Ave, Hartford, CT 06106-3527 2006-12-05
1689655896 Spectrum Healthcare Hartford, LLC Skilled Nursing Facility 5 Greenwood St, Hartford, CT 06106-2110 2005-11-07
1518956390 New Professional Care Health & Rehabilitation Center, LLC Skilled Nursing Facility 114 E Mcmurtry Ave, Hartford, KY 42347-1614 2005-10-14
1659368454 Diversicare Hartford, LLC Skilled Nursing Facility 217 Toro Rd, Hartford, AL 36344-1459 2005-10-05
1447253281 Health Care Reliance LLC D/b/a Ellis Manor Skilled Nursing Facility 210 George St, Hartford, CT 06114-2823 2005-05-24
1174097182 Universal Healthcare Holdings LLC Skilled Nursing Facility 5 Greenwood St, Hartford, CT 06106-2110 2019-01-14
1801266937 Lp Hartford, LLC Skilled Nursing Facility 114 E Mcmurtry Ave, Hartford, KY 42347-1614 2015-10-01
1063845865 Southington Care Center Skilled Nursing Facility 2 Park Pl, Apt 14c, Hartford, CT 06106-5007 2013-08-15
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Competitor

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City HARTFORD
Zip Code 06106

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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