Healthcare Provider Details

I. General information

NPI: 1740296508
Provider Name (Legal Business Name): THE CONNECTICUT HOSPICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DOUBLE BEACH RD
BRANFORD CT
06405-4909
US

IV. Provider business mailing address

100 DOUBLE BEACH RD
BRANFORD CT
06405-4909
US

V. Phone/Fax

Practice location:
  • Phone: 203-315-7500
  • Fax: 203-315-7614
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number0067
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARY ROSE GILHULY
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 203-315-7633