The Mary Wade Home, Incorporated

LBN: The Mary Wade Home, Incorporated
The Mary Wade Home, Incorporated is an health care organization with primary practice located at 118 Clinton Ave , New Haven CT 06513-3100. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Rehabilitation, Nursing & Custodial Care Facilities / Adult Care Home, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. The Mary Wade Home, Incorporated can be contacted via phone (203) 562-7222, or through Ginter, William Charles via phone (203) 672-7817.

Contact Information

Primary practice address
118 Clinton Ave New Haven CT 06513-3100
Phone: (203) 562-7222
Fax: (203) 848-6386
Website:
Map and Directions
Authorized official contact:
Name: Ginter, William Charles
Phone: (203) 672-7817

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X Connecticut
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 1665-RCH Connecticut
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2051-C Connecticut

Profile Details

NPI number 1972633436
LBN Legal business name The Mary Wade Home, Incorporated
DBA Doing business as
Authorized official Ginter, William Charles
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Aug 27th, 2020 - about 4 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 1972633436 NPPES
Connecticut MEDICAID 000020511

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