| Entity Name: | COMMUNITY HEALTH SERVICES, INCORPORATED |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 14 Oct 1969 |
| Business ALEI: | 0052919 |
| Annual report due: | 14 Oct 2025 |
| NAICS code: | 621498 - All Other Outpatient Care Centers |
| Business address: | 500 ALBANY AVENUE, HARTFORD, CT, 06120, United States |
| Mailing address: | 500 ALBANY AVENUE, HARTFORD, CT, United States, 06120 |
| ZIP code: | 06120 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | maggie.andrew@chshartford.org |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VMJQQXR4GSU3 | 2025-01-21 | 500 ALBANY AVE, HARTFORD, CT, 06120, 2508, USA | 500 ALBANY AVENUE, HARTFORD, CT, 06120, 2508, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| URL | http://www.chshartford.org |
| Congressional District | 01 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2024-02-02 |
| Initial Registration Date | 2006-05-05 |
| Entity Start Date | 1969-10-14 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621498 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MAGGIE ANDREW |
| Role | DIRECTOR OF FINANCE |
| Address | 500 ALBANY AVENUE, HARTFORD, CT, 06120, 2508, USA |
| Title | ALTERNATE POC |
| Name | LEON SMITH |
| Role | DIRECTOR IT |
| Address | 500 ALBANY AVENUE, HARTFORD, CT, 06120, 2508, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MAGGIE ANDREW |
| Role | DIRECTOR OF FINANCE |
| Address | 500 ALBANY AVENUE, HARTFORD, CT, 06120, 2508, USA |
| Title | ALTERNATE POC |
| Name | DIANNA KULMACZ |
| Role | CHIEF FINANCIAL OFFICER |
| Address | 500 ALBANY AVENUE, HARTFORD, CT, 06120, 2508, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4E1Z1 | Active | Non-Manufacturer | 2006-05-05 | 2024-03-09 | 2029-02-02 | 2025-01-21 | |||||||||||||||
|
|||||||||||||||||||||
| POC | MAGGIE ANDREW |
| Phone | +1 860-808-8706 |
| Fax | +1 860-808-1545 |
| Address | 500 ALBANY AVE, HARTFORD, CT, 06120 2508, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH SERVICES MEDICAL, LIFE, DENTAL, LTD AND STD PLAN | 2016 | 060863942 | 2017-11-20 | COMMUNITY HEALTH SERVICES | 154 | |||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||
| Active participants | 168 |
Signature of
| Role | Plan administrator |
| Date | 2017-11-10 |
| Name of individual signing | GENEA BELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2017-11-10 |
| Name of individual signing | GENEA BELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 1991-05-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 8602499625 |
| Plan sponsor’s mailing address | 500 ALBANY AVENUE, HARTFORD, CT, 06120 |
| Plan sponsor’s address | 500 ALBANY AVENUE, HARTFORD, CT, 06120 |
Plan administrator’s name and address
| Administrator’s EIN | 060863942 |
| Plan administrator’s name | COMMUNITY HEALTH SERVICES |
| Plan administrator’s address | 500 ALBANY AVENUE, HARTFORD, CT, 06120 |
| Administrator’s telephone number | 8602499625 |
Number of participants as of the end of the plan year
| Active participants | 18 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-31 |
| Name of individual signing | KENNETH M. GREEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 1991-05-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 8602499625 |
| Plan sponsor’s mailing address | 500 ALBANY AVENUE, HARTFORD, CT, 06120 |
| Plan sponsor’s address | 500 ALBANY AVENUE, HARTFORD, CT, 06120 |
Plan administrator’s name and address
| Administrator’s EIN | 060863942 |
| Plan administrator’s name | COMMUNITY HEALTH SERVICES |
| Plan administrator’s address | 500 ALBANY AVENUE, HARTFORD, CT, 06120 |
| Administrator’s telephone number | 8602499625 |
Number of participants as of the end of the plan year
| Active participants | 7 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | MICHAEL SHERMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| GREGORY L. STANTON | Agent | 500 ALBANY AVENUE, HARTFORD, CT, 06120, United States | +1 860-808-8701 | sharon.lawrence@chshartford.org | 15 SENECA ROAD, NEW HAVEN, CT, 06515, United States |
| Name | Role | Residence address |
|---|---|---|
| Raicheen Blanks | Director | 500 Albany Ave, Hartford, CT, 06120, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CSP.0023992 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | INACTIVE | No data | No data | 2009-03-01 | 2011-02-28 |
| 1.034972 | Physician/Surgeon | INACTIVE | LAPSED DUE TO NON-RENEWAL | 1995-11-24 | 2010-06-01 | 2011-05-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012217255 | 2024-09-27 | No data | Annual Report | Annual Report | No data |
| BF-0011086013 | 2023-09-14 | No data | Annual Report | Annual Report | No data |
| BF-0010414777 | 2022-09-16 | No data | Annual Report | Annual Report | 2022 |
| BF-0009817677 | 2021-10-06 | No data | Annual Report | Annual Report | No data |
| 0007231645 | 2021-03-15 | No data | Annual Report | Annual Report | 2020 |
| 0006976433 | 2020-09-10 | No data | Annual Report | Annual Report | 2019 |
| 0006274067 | 2018-11-08 | No data | Annual Report | Annual Report | 2018 |
| 0005943190 | 2017-10-09 | No data | Annual Report | Annual Report | 2017 |
| 0005662826 | 2016-10-03 | No data | Annual Report | Annual Report | 2016 |
| 0005512695 | 2016-03-11 | 2016-03-11 | Change of Agent | Agent Change | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
