UTOPIA HOME CARE INC
NPI 1164460820
Home Health in East Haven, CT

Patient Care Rating: 2 out of 5 stars

NPI Status: Active since June 03, 2006

Contact Information

444 FOXON RD
EAST HAVEN, CT
ZIP 06513
Phone: (203) 466-3050

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Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
Nursing Home Compare Information
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Home Health
Accepts Insurance
CLIA Number: 07D0940772
CLIA Cert. Type: Home Health Agency
CLIA Exp. Date: 02-16-2026

About UTOPIA HOME CARE INC

This page provides the complete NPI Profile along with additional information for Utopia Home Care Inc, a provider established in East Haven, Connecticut operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1164460820 assigned on June 2006. The practitioner's primary taxonomy code is 251E00000X with license number C9714510 (CT). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Richard Kyle Vitali (Billing Administrator)

NPI: 1164460820
Provider Name: UTOPIA HOME CARE INC
Entity Type: Organization
Location Address: 444 FOXON RD EAST HAVEN, CT 06513
Location Phone: (203) 466-3050
Mailing Address: 60 E MAIN ST KINGS PARK, NY 11754
Mailing Phone: (631) 544-6005
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-03-2006
Last Update Date: 06-22-2020
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According to the Home Health Compare program data, Utopia Home Care Inc has a below average overall quality rating based on the provider's performance on seven separate quality measures including: timely initiation of care, improvement in ambulation, bed transferring, bathing, shortness of breath, management of oral medications and relapse in acute care hospitalizations. The Quality of Patient Star Rating for this provider is 2 out of 5 and summarizes some of the current health care provider performance measures.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Home Health
Taxonomy Code: 251E00000X
Type: Agencies
License No.: C9714510
License State: CT
Taxonomy Description: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	251E00000X	Agencies	Home Health	000000 (SC)
2	376J00000X	Nursing Service Related Providers	Homemaker	C9714510 (CT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Florida Blue (BlueCross BlueShield FL)

BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO

Florida Blue HMO (a BlueCross BlueShield FL company)

BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS

Molina Healthcare

Bronze 4 - HMO
Bronze 8 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO
Silver 9 - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. RICHARD KYLE VITALI
Authorized Official Title: BILLING ADMINISTRATOR
Authorized Official Phone: (203) 466-3050

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
004181468	MEDICAID (05)	CT
004182226	OTHER (01)	CT	CHC
00000000	MEDICAID (05)	SC

Nursing Home Compare Information

The Centers for Medicare and Medicaid Services publishes Home Health Compare quality of care data to provide consumers an easy way to compare "Medicare-certified" home health agencies throughout the nation. "Medicare-certified" home health agencies are approved by Medicare and meet certain federal health and safety requirements.

The Home Health Compare information helps consumers learn how well home health agencies care for their patients, how often each agency used best practices when caring for its patients and what patients said about their recent home health care experience.

Quality of Patient Care Rating Quality of Patient Care Rating The quality of patient care star rating summarizes 8 of the 23 quality measures reported on Home Health Compare. It provides a single indicator of an agency's performance compared to other agencies.	- 2 out of 5 stars - UTOPIA HOME CARE INC performance was below the average of other agencies on selected measures.
Ownership Type Ownership Type Home health agencies can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities. The type of ownership may affect agency resources and how services are organized. Quality can vary in home health agencies within each of the different types of ownership. Each agency needs to be judged on its own merits.	Proprietary
Offers Nursing Care Offers Nursing Care? The home health agency offers care given or supervised by registered nurses. Nurses provide direct care; manage, observe, and evaluate a patient’s care; and teach the patient and his or her family caregiver. Examples include: giving IV drugs, shots, or tube feedings; changing dressings; and teaching about diabetes care. Any service that could be done safely by a non-medical person (or by yourself) without the supervision of a nurse isn’t skilled nursing care. Medicare covers home health skilled nursing care that's part time and intermittent.	Yes
Offers Physical Therapy Offers Physical Therapy? The home health agency offers treatment of injury and disease by mechanical means, like heat, light, exercise, and massage.	Yes
Offers Occupational Therapy Offers Occupational Therapy? The home health agency offers services given to help you return to usual activities (like bathing, preparing meals, and housekeeping) after illness either on an inpatient or outpatient basis.	Yes
Offers Speech Therapy Offers Speech Therapy? The home health agency offers services to assist with problems involving speech, language, and swallowing. Communication problems can be present at birth or develop after an injury or illness, like a stroke.	Yes
Offers Medical Social Services Medical Social Services? The home health agency offers services to help with social and emotional concerns related to your illness. This might include counseling or help in finding resources in your community.	Yes
Offers Home Health Aide Offers Home Health Aide? The home health agency offers part time or intermittent services to help with daily living activities.	Yes
Medicare Certification Date	07-17-1997
Number of episodes used to calculate how much Medicare spends at this agency Number of episodes used to calculate how much Medicare spends at this agency Number of episodes of care used to calculate how much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally.	1,026
How often patients got better at walking or moving around? How often patients got better at walking or moving around? This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to ambulate.	69%
How often patients got better at getting in and out of bed? How often patients got better at getting in and out of bed? This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to get in and out of bed.	69%
How often patients got better at bathing? How often patients got better at bathing? This quality measure shows the percentage of home health quality episodes during which the patient got better at bathing self.	77.1%
How often patients' breathing improved? How often patients' breathing improved? This quality measure shows the percentage of home health quality episodes during which the patient became less short of breath or dyspneic.	83%
How often the home health team began their patients' care in a timely manner? How often the home health team began their patients' care in a timely manner? This quality measure shows the percentage of episodes of care initiated or resumed on the date the physician ordered, or within within 24-48 hours of referral.	96.6%
How often patients got better at taking their drugs correctly by mouth? How often patients got better at taking their drugs correctly by mouth? This quality measure shows the percentage of home health quality episodes during which the patient improved in ability to take their medicines correctly (by mouth).	66.9%
How often the home health team made sure that their patients have received a flu shot for the current flu season? How often the home health team made sure that their patients have received a flu shot for the current flu season? This quality measure shows the percentage of home health quality episodes during which patients received the influenza immunization for the current flu season.	69%
How often physician-recommended actions to address medication issues were completed timely? How often physician-recommended actions to address medication issues were completed timely? This quality measure shows the percentage of home health quality episodes forwhich a drug regimen review was conducted at the start of care or resumption of care and completion of recommended actions from timely follow-up with a physician occurred each time potential clinically significant medication issues were identified throughout that quality episode.	86.1%
Percent of Residents Experiencing One or More Falls with Major Injury How often a patient had one or more falls with a major injury? This measure reports the percentage of patients who suffer falls that may result in major injuries and are a risk for patients living at the health home.	1.3%
Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment How often a patient has an admission and discharge functional assessment and an admission care plan that addresses function? This measure displays hows how often the home health team completed a functional assessment for patients at both admission and discharge, and developed a functional care plan at admission.	96.8%
How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally? How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally? This measure evaluates Home Health resource use relative to the resource use of the national median of all Home Health providers. Specifically, the measure assesses the Medicare spending performed by the Home Health provider and other healthcare providers during an MSPB-PAC episode.	1.09%
Changes in skin integrity post-acute care: pressure ulcer/injury Changes in skin integrity post-acute care: pressure ulcer/injury This measure reports the percentage of patient stays with Stage 2-4 pressure ulcers, or unstageable pressure ulcers due to slough/eschar, non-removable dressing/device, or deep tissue injury, that are new or worsened since admission.	0.6%

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 07D0940772
Facility Type: Home Health Agency
Certificate Effective Date: February 17, 2024
Certificate Expiration Date: February 16, 2026
Laboratory Director: DAVID C. MARTINEZ
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Utopia Home Care Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	6	4	4	6	0	8	2	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	12	4	8	6	0	8	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 8 + 6 + 0 + 8 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1164460820 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 5 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1508853060	MR. SCOTT G CAMERON PT Individual	Physical Therapist	444 FOXON RD EAST HAVEN, CT 06513 (203) 468-4620
1912056805	UTOPIA ASSISTED LIVING SERVICES Organization	Assisted Living Facility	444 FOXON RD EAST HAVEN, CT 06513 (203) 466-3050
1508060021	TEMPLE P. T. & LIFE SCIENCES Organization	Physical Therapist	444 FOXON RD EAST HAVEN, CT 06513 (203) 468-4620
1851540405	CLAUDIA PATRICIA HERRERA MSPT Individual	Physical Therapist (Orthopedic)	444 FOXON RD EAST HAVEN, CT 06513 (203) 468-4620
1215458393	CAREMORE MEDICAL GROUP OF CONNECTICUT, PC Organization	Internal Medicine	444 FOXON RD EAST HAVEN, CT 06513 (475) 227-0511

Frequently Asked Questions

What is UTOPIA HOME CARE INC NPI number?

The NPI number assigned to this healthcare provider is 1164460820, enumerated in the NPI registry as an "organization" on June 03, 2006

Where is the provider located?

The provider is located at 444 Foxon Rd East Haven, Ct 06513 and the phone number is (203) 466-3050

What is the provider specialty code?

This medical organization specializes in Home Health with taxonomy code 251E00000X

What insurance does UTOPIA HOME CARE INC accept?

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

What is UTOPIA HOME CARE INC CLIA number?

The provider's CLIA number is 07D0940772 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

How do I update my NPI information?

This NPI record was last updated on June 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.