CHURCH HOMES, INC. CONGREGATIONAL (NPI# 1922092089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922092089 |
| Entity Type | Organization |
| Organization Name | CHURCH HOMES, INC. CONGREGATIONAL |
| Other Organization Name | AVERY HEIGHTS HOME HEALTH AGENCY |
| Practice Address |
705 New Britain Ave Hartford CT 06106-4039 |
| Mailing Address |
217 Avery Hts Hartford CT 06106-4271 |
| Practice Telephone | 8605274663 |
| Mailing Telephone | 8605279126 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2010-04-20 |
| Authorized Official Name | MR. PATRICK J GILLAND (PRESIDENT/CEO) |
| Authorized Official Telephone | 8605279126 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHURCH HOMES, INC. CONGREGATIONAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | C9206305 | CT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004116308 | 05 |
| Other Name | Type Code |
|---|---|
| Avery Heights Home Health Agency | Doing Business As Name - Organization |
| 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 |
| 1285628594 | Church Homes, Inc. Congregational | Nursing Facility/Intermediate Care Facility | 705 New Britain Ave, Hartford, CT 06106-4039 | 2005-09-01 |
| Street Address |
705 NEW BRITAIN AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-4039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628594 | Church Homes, Inc. Congregational | Nursing Facility/Intermediate Care Facility | 705 New Britain Ave, Hartford, CT 06106-4039 | 2005-09-01 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083196158 | Dawson Adult Care Services | Home Health | 45 Harrison Pl, Hartford, CT 06112-2119 | 2018-09-05 |
| 1841687621 | Holistic Home Care LLC | Home Health | 461 Farmington Ave, Hartford, CT 06105-4494 | 2015-04-20 |
| 1265825764 | Home Care Solutions LLC | Home Health | 1190 Western Dr, Hartford, WI 53027-2721 | 2015-03-09 |
| 1346639739 | Center for Transitional Living | Home Health | 57 Pratt St Fl 6, Hartford, CT 06103-1604 | 2015-01-22 |
| 1033513056 | Home Care Vna, LLC | Home Health | 33o Main Street 3rd Fl00r Suite C-3, Hartford, CT 06106-1851 | 2014-10-20 |
| 1770993750 | Hartford Elderly Services, LLC | Home Health | 753 Maple Ave, Hartford, CT 06114-2315 | 2014-04-30 |
| 1699040360 | Helping Handz Home Care, LLC | Home Health | 356 Franklin Ave, Hartford, CT 06114-2507 | 2012-03-14 |
| 1538486915 | Bridges Healthcare LLC | Home Health | 1121 E Sumner St, Ste B, Hartford, WI 53027-1609 | 2010-04-26 |
| 1376705541 | Sojourn Inc | Home Health | 891 West Blvd, 321, Hartford, CT 06105-4154 | 2008-06-30 |
| 1992914097 | Rosetter L Gomes | Home Health | 203 W Commerce St, Hartford, AL 36344-1604 | 2007-05-22 |
| Find all providers in HARTFORD | ||||
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| 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.