| Entity Name: | MOUNT SINAI REHABILITATION HOSPITAL, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 18 Apr 1995 |
| Business ALEI: | 0510740 |
| Annual report due: | 18 Apr 2025 |
| NAICS code: | 622310 - Specialty (except Psychiatric and Substance Abuse) Hospitals |
| Business address: | 490 BLUE HILLS AVE., HARTFORD, CT, 06112, United States |
| Mailing address: | LEGAL AFFAIRS 114 WOODLAND STREET, HARTFORD, CT, United States, 06105 |
| ZIP code: | 06112 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | LEGALDEPARTMENT@TRINITYHEALTHOFNE.ORG |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| WALTER HARRISON PH.D. | Director | 200 BLOOMFIELD AVENUE, WEST HARTFORD, CT, 06117, United States | 130 BLUE HERON ROAD, WELLFLEET, MA, 02667, United States |
| Arosha Jayawickrema | Director | 490 Blue Hills Avenue, Hartford, CT, 06112, United States | 56 Franklin Street, Waterbury, CT, 06706-1253, United States |
| Steven Kunsman | Director | 490 BLUE HILLS AVE., HARTFORD, CT, 06112, United States | 490 BLUE HILLS AVE., HARTFORD, CT, 06112, United States |
| Nancy M. Kroeber | Director | 222 Old Mountain Rd, Marion, CT, 06444-0049, United States | 222 Old Mountain Rd, Marion, CT, 06444-0049, United States |
| Barbara A. Mullen CSJ | Director | No data | 650 Willard Ave, Newington, CT, 06111-2614, United States |
| Michelle N. Theroux | Director | 48 Woodbridge St, South Hadley, MA, 01075-1125, United States | SAINT MARY'S HOSPITAL, INC. 56 FRANKLIN ST, WATERBURY, CT, 06706, United States |
| KARL J. KRAPEK | Director | 11 PEMBROKE DRIVE, AVON, CT, 06001, United States | 11 PEMBROKE DRIVE, AVON, CT, 06001, United States |
| Robert C. Gumbardo, M.D. | Director | 385 Main St S, Southbury, CT, 06488, United States | 224 Tepi Dr, Southbury, CT, 06488-1026, United States |
| Rev. Juan Miguel Betancourt | Director | 134 Farmington Ave, Hartford, CT, 06105-3723, United States | 134 Farmington Ave, Hartford, CT, 06105-3723, United States |
| EMILY BROWER | Director | 20555 VICTOR PARKWAY, LIVONIA, MI, 48152, United States | 1319 WELLS STREET, ANN ARBOR, MI, 48104, United States |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Sean M. Fitzpatrick | Officer | 1000 Asylum Ave, Hartford, CT, 06105-1770, United States | 1000 Asylum Ave, Hartford, CT, 06105-1770, United States |
| ROBERT J. ANTHONY ESQ. | Officer | 114 WOODLAND STREET, HARTFORD, CT, 06105, United States | 1277 DEER RUN CIRCLE, CHESHIRE, CT, 06410, United States |
| John Kinney, JD | Officer | 490 Blue Hills Avenue, Hartford, CT, 06112, United States | 56 Franklin Street, Waterbury, CT, 06706-1253, United States |
| David Carter Montez FACHE | Officer | 1000 Asylum Ave., Hartford, CT, 06105, United States | 1000 Asylum Ave., Hartford, CT, 06105, United States |
| SHERI A. LEMIEUX | Officer | 1000 Asylum Ave., HARTFORD, CT, 06105, United States | 243 STEELE ROAD, #331, WEST HARTFORD, CT, 06117, United States |
| JOANN H. PRICE | Officer | 75 ISHAM ROAD, SUITE 200, WEST HARTFORD, CT, 06107, United States | 45 HERITAGE LANE, AVON, CT, 06001, United States |
| JAMES C. SMITH | Officer | 123 BANK STREET, 2ND FLOOR, WATERBURY, CT, 06702, United States | 290 TRANQUILITY ROAD, MIDDLEBURY, CT, 06762, United States |
| Catherine M. Spath, MD | Officer | 490 BLUE HILLS AVE., HARTFORD, CT, 06112, United States | SAINT MARY'S HOSPITAL, INC. 56 FRANKLIN ST, WATERBURY, CT, 06706, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CSP.0029868 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | INACTIVE | No data | No data | 2011-03-01 | 2013-02-28 |
| CDH.00017CD | Chronic Disease Hospital | ACTIVE | CURRENT | 2009-04-01 | 2023-04-01 | 2025-03-31 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | THE REHABILITATION HOSPITAL OF CONNECTICUT, INC. | MOUNT SINAI REHABILITATION HOSPITAL, INC. | 2006-04-10 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012361181 | 2024-04-18 | No data | Annual Report | Annual Report | No data |
| BF-0011253817 | 2023-04-17 | No data | Annual Report | Annual Report | No data |
| BF-0010356844 | 2022-03-24 | No data | Annual Report | Annual Report | 2022 |
| 0007351264 | 2021-05-25 | No data | Annual Report | Annual Report | 2021 |
| 0006992565 | 2020-09-28 | No data | Annual Report | Annual Report | 2020 |
| 0006481130 | 2019-03-21 | No data | Annual Report | Annual Report | 2019 |
| 0006300960 | 2018-12-31 | 2019-01-01 | Amendment | Restated | No data |
| 0006136273 | 2018-03-23 | No data | Annual Report | Annual Report | 2018 |
| 0005826241 | 2017-04-26 | No data | Annual Report | Annual Report | 2017 |
| 0005547162 | 2016-04-22 | No data | Annual Report | Annual Report | 2016 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
