GREENWICH HOSPITAL
NPI 1073637724
Hospice Care, Community Based in Stanford, CT

Active since March 19, 2007CLIA Certified · 4 labs
2015 WEST MAIN STREET, STANFORD, CT 06907(203) 863-3883 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Greenwich Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENWICH HOSPITAL (NPI 1073637724) is a healthcare organization registered as a hospice care, community based in Stanford, Connecticut and active in the NPI registry since March 2007. The organization holds 4 active CLIA laboratory certificates and lists Eugene Colucci, V.p./cfo, as its authorized official.

NPPES Registry Identity

NPI1073637724
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameGREENWICH HOSPITAL
Location Address2015 WEST MAIN STREETStanford, CT 06907
Mailing Address5 Perryridge Road, Finance DepartmentGreenwich, CT 06830-4697 · (203) 863-3000
Organization SubpartYes
Authorized OfficialEugene ColucciV.p./cfo · (203) 863-3008
Enumeration DateMarch 19, 2007
Last NPPES UpdateDecember 8, 2010
NPI 1073637724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License Licensed in CT · C831139H
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License C831139H (CT)
2015 WEST MAIN STREET, Stanford, CT 06907

Other Identifiers 1

Medicare OSCAR/certification071528

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D2193713

Greenwich Hospital · Greenwich, CT
Active · expires Apr 11, 2028
CLIA Number07D2193713
Laboratory TypeLabor And Delivery Lab
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorKirsten Lawrence
Laboratory Phone(203) 863-3510
Laboratory LocationGreenwich Hospital5 Perryridge Rd, Greenwich, CT 06830
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 07D0101367

Greenwich Hospital Dept Of Pathology · Greenwich, CT
Active · expires Feb 27, 2027
CLIA Number07D0101367
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Kisha Mitchell Richards
Laboratory Phone(203) 863-3082
Laboratory LocationGreenwich Hospital Dept Of Pathology5 Perryridge Rd, Greenwich, CT 06830
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 07D0989347

Greenwich Hospital West Putnam Laboratory · Greenwich, CT
Active · expires Sep 30, 2027
CLIA Number07D0989347
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorKisha Mitchell Richards
Laboratory Phone(475) 240-8273
Laboratory LocationGreenwich Hospital West Putnam Laboratory500 West Putnam Ave 1st Floor, Greenwich, CT 06830
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 07D0702017

Greenwich Hospital - Laboratory · Greenwich, CT
Active · expires Oct 25, 2026
CLIA Number07D0702017
Laboratory TypeHospital
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorAnna Cerra
Laboratory Phone(203) 863-3062
Laboratory LocationGreenwich Hospital - LaboratoryAttn-Vaishali Hodel 5 Perryridge Rd, Rm G-114 A, Greenwich, CT 06830
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073637724, enumerated as an "organization" on March 19, 2007.

The provider is located at 2015 WEST MAIN STREET STANFORD, CT 06907 and the phone number is (203) 863-3883.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.