| Entity Name: | CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 14 Feb 1996 |
| Business ALEI: | 0530962 |
| Annual report due: | 14 Feb 2025 |
| NAICS code: | 622110 - General Medical and Surgical Hospitals |
| Business address: | ATTN: LEGAL DEPARTMENT 10 COLUMBUS BOULEVARD, HARTFORD, CT, 06106, United States |
| Mailing address: | ATTN: LEGAL DEPARTMENT 282 WASHINGTON STREET, HARTFORD, CT, United States, 06106 |
| ZIP code: | 06106 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | tmaher@connecticutchildrens.org |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MPJ1V6L7MN71 | 2024-09-26 | 282 WASHINGTON ST, HARTFORD, CT, 06106, 3322, USA | 282 WASHINGTON ST, HARTFORD, CT, 06106, 3322, USA | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 01 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2023-09-29 |
| Initial Registration Date | 2015-11-24 |
| Entity Start Date | 1996-02-14 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | AARON GREICO |
| Role | CORPORATE CONTROLLER |
| Address | 282 WASHINGTON STREET, HARTFORD, CT, 06106, USA |
| Title | ALTERNATE POC |
| Name | NEAL BREEN |
| Role | SR. MANAGER |
| Address | 282 WASHINGTON STREET, HARTFORD, CT, 06106, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KIMBERLY DAVEY |
| Role | DIRECTOR OSP |
| Address | 282 WASHINGTON STREET, HARTFORD, CT, 06106, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7HYM2 | Obsolete | Non-Manufacturer | 2015-12-17 | 2024-08-02 | No data | 2025-07-31 | |||||||||||||
|
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| POC | KIMBERLY DAVEY |
| Phone | +1 860-837-5812 |
| Address | 282 WASHINGTON ST, HARTFORD, CT, 06106 3322, 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 | Phone | |
|---|---|---|---|---|
| CONNECTICUT CHILDREN'S MEDICAL CENTER | Agent | 10 COLUMBUS BOULEVARD, 5th FLOOR, LEGAL, COMPLIANCE, RISK, HARTFORD, CT, 06106, United States | +1 860-214-4773 | tmaher@connecticutchildrens.org |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MOSES VARGAS | Officer | ATTN: LEGAL DEPARTMENT 10 COLUMBUS BOULEVARD, HARTFORD, CT, 06106, United States | CONNECTICUT CHILDREN'S MEDICAL CENTER, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States |
| James Moore | Officer | ATTN: LEGAL DEPARTMENT 10 COLUMBUS BOULEVARD, HARTFORD, CT, 06106, United States | 31 Griffith Ln, Ridgefield, CT, 06877-4401, United States |
| BRIDGETT FEAGIN | Officer | ATTN: LEGAL DEPARTMENT 10 COLUMBUS BOULEVARD, HARTFORD, CT, 06106, United States | ATTN: LEGAL DEPARTMENT 10 COLUMBUS BOULEVARD, HARTFORD, CT, 06106, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| OSP.001822 | Optical Selling Permit | ACTIVE | CURRENT | 2021-01-06 | 2024-09-01 | 2025-08-31 |
| OSP.001821 | Optical Selling Permit | ACTIVE | CURRENT | 2021-01-06 | 2024-09-01 | 2025-08-31 |
| OPC.0001085 | Outpatient Clinic | ACTIVE | CURRENT | 2020-09-03 | 2023-10-01 | 2026-09-30 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | CCMC FACULTY PRACTICE PLAN, INC. | CONNECTICUT CHILDREN'S SPECIALTY GROUP, INC. | 2009-11-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012614230 | 2024-04-19 | 2024-04-19 | Change of Agent Address | Agent Address Change | No data |
| BF-0012295839 | 2024-01-26 | No data | Annual Report | Annual Report | No data |
| BF-0011259171 | 2023-01-18 | No data | Annual Report | Annual Report | No data |
| BF-0010256231 | 2022-01-25 | No data | Annual Report | Annual Report | 2022 |
| 0007062602 | 2021-01-13 | No data | Annual Report | Annual Report | 2021 |
| 0006714429 | 2020-01-07 | No data | Annual Report | Annual Report | 2020 |
| 0006458323 | 2019-03-11 | 2019-03-11 | Change of Agent | Agent Change | No data |
| 0006458302 | 2019-03-07 | 2019-03-07 | Change of Agent | Agent Change | No data |
| 0006350940 | 2019-01-31 | No data | Annual Report | Annual Report | 2019 |
| 0006264907 | 2018-10-25 | No data | Annual Report | Annual Report | 2018 |
Date of last update: 20 Jan 2025
Sources: Connecticut's Official State Website
