Masonicare Health Center

LBN: Masonicare Health Center
Masonicare Health Center is an health care organization with primary practice located at 22 Masonic Ave , Wallingford CT 06492-3048. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Masonicare Health Center can be contacted via phone (203) 679-5900, or through Venoit, Jon-Paul via phone (203) 679-5000.

Contact Information

Primary practice address
22 Masonic Ave Wallingford CT 06492-3048
Phone: (203) 679-5900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Venoit, Jon-Paul
Phone: (203) 679-5000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 119C Connecticut

Profile Details

NPI number 1356558472
LBN Legal business name Masonicare Health Center
DBA Doing business as
Authorized official Venoit, Jon-Paul
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Nov 5th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356558472 NPPES
Connecticut MEDICAID 000091801

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