MASONICARE HOME HEALTH AND HOSPICE, INC. (NPI# 1225151822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225151822 |
Entity Type | Organization |
Organization Name | MASONICARE HOME HEALTH AND HOSPICE, INC. |
Practice Address |
97 Barnes Rd Wallingford CT 06492-1885 |
Mailing Address |
110 S Turnpike Rd Wallingford CT 06492-4342 |
Practice Telephone | 2036795300 |
Enumeration Date | 2007-04-09 |
Last Update Date | 2020-03-02 |
Authorized Official Name | MRS. ALLISON BREAULT (PRESIDENT) |
Authorized Official Telephone | 2036795208 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | C841181 | CT | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004054789 | 05 | |
CT | UNEMPLOYMENT | 09219590 | 01 |
CT | BLUE CROSS | 682 | 01 |
CT | SELF DIRECTED | 004129731 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184280893 | Masonicare Home Health and Hospice, Inc. | Assisted Living Facility | 3 Myrtle Dr, Norwich, CT 06360-1545 | 2019-05-17 |
1710976220 | Masonicare Home Health and Hospice, Inc. | Home Health Aide | 97 Barnes Rd Ste 4, Wallingford, CT 06492-1885 | 2005-10-18 |
Street Address |
97 BARNES RD |
City | WALLINGFORD |
State | CT |
Zip Code | 06492-1885 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447234331 | Sherwin Borsuk | Radiology | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2005-12-04 |
1780152173 | Ashley Tighe | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2018-11-05 |
1497959035 | Amy Platt | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2007-06-14 |
1720154198 | Subbarao Bollepalli | Psychiatry & Neurology | 97 Barnes Rd, Suite #2, Wallingford, CT 06492-1885 | 2006-11-28 |
1841369717 | Erik Olsen | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-11-07 |
1649352469 | Jeffrey Jennings | Pediatrics | 97 Barnes Rd, Suite #6, Wallingford, CT 06514 | 2006-10-20 |
1962500504 | Kevin M Connellan | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-09-20 |
1912936246 | Harold S Wilkes | Internal Medicine | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-06-30 |
1720017049 | George Spivack | Internal Medicine | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-06-30 |
1477517548 | Miriam Susan Cohen | Pediatrics | 97 Barnes Rd, Ste 6, Wallingford, CT 06492-1885 | 2006-04-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
Find all providers in zip 06492 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740749365 | Hospice of Connecticut, LLC | Hospice Care, Community Based | 500 E Main St Ste 204, Branford, CT 06405-2937 | 2019-03-13 |
1982955837 | Life Choice Hospice of Connecticut LLC | Hospice Care, Community Based | 612 Wheelers Farms Rd Ste 103, Milford, CT 06461-1673 | 2012-10-01 |
1558472746 | Visiting Nurse & Health Services of Connecticut Inc | Hospice Care, Community Based | 8 Keynote Dr, Vernon, CT 06066-5040 | 2006-08-31 |
1548283674 | Hartford Healthcare At Home, Inc | Hospice Care, Community Based | 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337 | 2006-07-26 |
1003850694 | Solamor Hospice Corporation | Hospice Care, Community Based | 4 Oxford Rd, Suite E4, Milford, CT 06460-3855 | 2006-06-15 |
1649228016 | Regional Hospice and Home Care of Western Connecticut, Inc. | Hospice Care, Community Based | 30 Milestone Road, Danbury, CT 06810-5103 | 2006-05-05 |
1437136728 | Mclean Affiliates, Inc. | Hospice Care, Community Based | 75 Great Pond Rd, Simsbury, CT 06070-1980 | 2005-12-28 |
1992702757 | Trinity Home Health Services | Hospice Care, Community Based | 76 Batterson Park Rd, Farmington, CT 06032-2571 | 2005-07-07 |
1275043861 | Visiting Nurse & Hospice of Fairfield County, Inc. | Hospice Care, Community Based | 761 Main Ave, Suite 114, Norwalk, CT 06851 | 2017-10-09 |
1598284705 | Bristol Home Care and Hospice Agency Inc | Hospice Care, Community Based | 222 Main St, Bristol, CT 06010-8827 | 2017-09-19 |
Find all providers with the same taxonomy |
City | WALLINGFORD |
Zip Code | 06492 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.