| Entity Name: | HALL-BROOKE BEHAVIORAL HEALTH SERVICES, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Merged |
| Date Formed: | 06 Dec 1965 |
| Business ALEI: | 0106188 |
| Annual report due: | 29 Dec 2013 |
| Business address: | 47 LONG LOTS ROAD, WESTPORT, CT, 06880 |
| ZIP code: | 06880 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | peter.struzzi@stvincents.org |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4C136 | Active | Non-Manufacturer | 2006-03-13 | 2024-03-07 | No data | No data | |||||||||||||||
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| POC | JOYCE PLATZ |
| Phone | +1 203-362-3925 |
| Fax | +1 203-362-3939 |
| Address | 47 LONG LOTS RD, WESTPORT, CT, 06880 3828, 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 |
|---|
| Name | Role | Business address | Residence address |
|---|---|---|---|
| PETER H. STRUZZI | Agent | ST. VINCENT'S MEDICAL CENTER, 2800 MAIN ST., BRIDGEPORT, CT, 06606, United States | 150 FAIRMOUNT TERRACE, FAIRFIELD, CT, 06825, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| JOHN PHELAN JR. | Officer | NORTHWESTERN MUTUAL, 258 RIVERSIDE AVENUE, SUITE 200, WESTPORT, CT, 06880, United States | 65 TERRY ROAD, HARTFORD, CT, 06105, United States |
| SEAN CARROLL | Officer | MERIT INSURANCE, 1000 LAFAYETTE BLVD., BRIDGEPORT, CT, 06604, United States | 1 ENTERPRISE DRIVE, SHELTON, CT, 06484, United States |
| PAUL RICHTER | Officer | CENTURY 21, RICHTER REAL ESTATE, 2465 BLACK ROCK TURNPIKE, FAIRFIELD, CT, 06825, United States | 2465 BLACK ROCK TPKE, FAIRFIELD, CT, 06825, United States |
| JOHN STRIPP | Officer | FAIRFIELD COUNTY BANK, 20 COMPO ROAD SOUTH, WESTPORT, CT, 06880, United States | 4 SCATACOOK TRAIL, WESTON, CT, 06883, United States |
| JOSEPHINE FUCHS LUSCOMBE | Officer | 56 LONG LOTS ROAD, WESTPORT, CT, 06880, United States | 56 LONG LOTS ROAD, WESTPORT, CT, 06880, United States |
| RODOLFO ROSADO | Officer | 71 EAST AVENUE, SUITE U, NORWALK, CT, 06851, United States | 43 NOAH'S LANE EXT., NORWALK, CT, 06851, United States |
| SR. MARY FRANCIS MARTIN | Officer | DAUGHTERS OF CHARITY RESIDENCE, 449 EAST LOCUST AVE., PHILADELPHIA, PA, 19144, United States | DAUGHTERS OF CHARITY RESIDENCE, 449 EAST LOCUST AVE., PHILADELPHIA, PA, 19144, United States |
| MARILYN SMITH | Officer | CANTERBURY PEDIATRICS, PC, 401 MONROE TURNPIKE, MONROE, CT, 06468, United States | 190 EVERETT ROAD, EASTON, CT, 06612, United States |
| MARGARET E. HARDY RN | Officer | 47 LONG LOTS ROAD, WESTPORT, CT, 06880, United States | 150 SOUTHFIELD AVENUE, STAMFORD, CT, 06902, United States |
| CLAIRE S. GOLD | Officer | 65 EAST COMMON ROAD, EASTON, CT, 06612, United States | 65 EAST COMMON ROAD, EASTON, CT, 06612, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| SA.0000378 | Substance Abuse | INACTIVE | No data | 2008-10-01 | 2008-10-01 | 2010-09-30 |
| POCA.0000446 | Psychiatric Outpatient Clinic | INACTIVE | No data | 2008-10-01 | 2008-10-01 | 2012-09-30 |
| POCA.0000447 | Psychiatric Outpatient Clinic | INACTIVE | No data | 2008-10-01 | 2008-10-01 | 2012-09-30 |
| SA.0000379 | Substance Abuse | INACTIVE | No data | 2008-10-01 | 2008-10-01 | 2010-09-30 |
| MHDT.0000049 | Mental Health Day Treatment | INACTIVE | No data | 2008-10-01 | 2008-10-01 | 2012-09-30 |
| MHDT.0000050 | Mental Health Day Treatment | INACTIVE | No data | 2008-10-01 | 2008-10-01 | 2012-09-30 |
| PSY.00H0005 | Hospitals for Mentally Ill Persons | INACTIVE | No data | 2008-01-01 | 2008-01-01 | 2009-12-31 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | HALL-BROOKE FOUNDATION, INC. | HALL-BROOKE BEHAVIORAL HEALTH SERVICES, INC. | 2001-05-11 |
| Name change | HALL-BROOKE HOSPITAL FOUNDATION, INC. | HALL-BROOKE FOUNDATION, INC. | 1971-05-07 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0004886801 | 2013-06-28 | 2013-07-01 | Merger | Certificate of Merger | No data |
| 0004751582 | 2012-11-26 | No data | Annual Report | Annual Report | 2012 |
| 0004744729 | 2012-11-08 | 2012-11-08 | Change of Agent | Agent Change | No data |
| 0004492415 | 2011-12-29 | No data | Annual Report | Annual Report | 2011 |
| 0004311464 | 2011-01-24 | 2011-01-24 | Amendment | Restate | No data |
| 0004311187 | 2010-12-28 | No data | Annual Report | Annual Report | 2010 |
| 0004124859 | 2010-03-19 | No data | Annual Report | Annual Report | 2009 |
| 0003820833 | 2008-11-26 | No data | Annual Report | Annual Report | 2008 |
| 0003785172 | 2008-09-30 | 2008-09-30 | Amendment | Restate | No data |
| 0003606582 | 2007-12-31 | No data | Annual Report | Annual Report | 2007 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
