MASONICARE HOME HEALTH AND HOSPICE, INC.


Address: 97 Barnes Rd, Wallingford, CT 06492-1885
Phone: 2036795300

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based C841181 CT Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CT 004054789 05
CT UNEMPLOYMENT 09219590 01
CT BLUE CROSS 682 01
CT SELF DIRECTED 004129731 01

Other Provider IDs and Locations

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

Office Location

Street Address 97 BARNES RD
City WALLINGFORD
State CT
Zip Code 06492-1885

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City WALLINGFORD
Zip Code 06492

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Dataset Information

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.

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