Masonicare Health Center in Wallingford - Nursing Facility/intermediate Care Facility
Masonicare Health Center - NPI 1356558472
Masonicare Health Center is a Nursing Facility/intermediate Care Facility in Wallingford, Connecticut. Masonicare Health Center practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Masonicare Health Center is 1356558472. The last update date is 2019-11-05.
Masonicare Health Center's current location address is 22 Masonic Ave, Wallingford, Connecticut. You can contact this provider via phone number 2036795900. The mailing address for Masonicare Health Center is 22 Masonic Ave, Wallingford, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Masonicare Health Center |
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Address | 22 Masonic Ave, Wallingford, Connecticut |
Phone Number | 2036795900 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Venoit Jon-Paul |
Telephone Number | 2036795000 |
NPI Number Detail
NPI Number | 1356558472 |
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Provider Enumeration Date | 2007-05-17 |
Last Updated Date | 2019-11-05 |
Provider Mailing Address Detail
Address | 22 Masonic Ave |
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City | Wallingford |
State | Connecticut (CT) |
Post Code | 64923048 |
Phone Number | 2036795900 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nursing Facility/intermediate Care Facility |
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Taxonomy | 313M00000X |
Licence No | 119C |
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
91801 | CT | -- |
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What is the unique 10-digit identifier code issued to Masonicare Health Center by the Centers for Medicare & Medicaid Services?
The Masonicare Health Center has been assigned the NPI (National Provider Identifier) 1356558472 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Masonicare Health Center located?
The Masonicare Health Center is located at 22 Masonic Ave, Wallingford, CT 64923048.
What is Masonicare Health Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Masonicare Health Center is Nursing Facility/intermediate Care Facility, and the taxonomy classification code that categorizes this area of expertise is 313M00000X.
When did Masonicare Health Center receive its 1356558472 assignment?
The Masonicare Health Center was assigned its 1356558472 on 2007-05-17, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Masonicare Health Center most recently updated or revised?
The details related to Masonicare Health Center, including its address, specialty, and other relevant information, were last updated or revised on 2019-11-05.
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