Masonicare
Rehabilitation Hospital in Wallingford, Connecticut
1104131283- Practice location
- 22 Masonic Ave, Rehab Department, Wallingford, CT 06492-3048
- Phone
- 203-679-5900
- Fax
- 203-679-6142
- Last updated
- August 12, 2010
Masonicare is a healthcare organization based in Wallingford, CT. Masonicare practices in Wallingford, CT. The NPI Number for Masonicare is 1104131283 and holds a License No. 003288 (CT). The current practice location address for Masonicare is 22 Masonic Ave, Rehab Department, Wallingford, CT 06492-3048 and can be reached out via phone at 203-679-5900 and via fax at 203-679-6142.
Provider Profile Details
- NPI Number
- 1104131283
- Provider Name
- Masonicare
- Provider Entity Type
- Organization
- Address
- 22 Masonic Ave, Rehab Department, Wallingford, CT 06492-3048
- Phone Number
- 203-679-5900
- Fax Number
- 203-679-6142
- Primary Taxonomy
- Rehabilitation Hospital · 283X00000X
- Organization Subpart
- No
- Authorized Official
- Susan Fagan, OTR/L · Rehab Director · 203-679-6247
- Provider Enumeration Date
- August 12, 2010
- Last Update Date
- August 12, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Masonic Ave
Rehab Department
Wallingford, CT 06492-3048 - City
- Wallingford
- State
- Connecticut
- Zip
- 06492-3048
- Phone Number
- 203-679-5900
- Fax Number
- 203-679-6142
Provider Business Mailing Address Details
- Address
- 22 Masonic Ave
Rehab Department
Wallingford, CT 06492-3048 - City
- Wallingford
- State
- CT
- Zip
- 06492-3048
- Phone Number
- 203-679-5900
- Fax Number
- 203-679-6142
License Information
- License Number
- 003288
- License State
- CT
- Taxonomy
- Rehabilitation Hospital · 283X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Masonicare?
The NPI number of Masonicare is 1104131283. It was assigned on August 12, 2010 and is currently active in the NPPES registry.
What is the specialty of Masonicare?
Masonicare is registered under the primary taxonomy Rehabilitation Hospital (code 283X00000X), licensed in CT under license number 003288.
Where does Masonicare practice?
The practice location is 22 Masonic Ave, Rehab Department, Wallingford, CT 06492-3048. The office can be reached at 203-679-5900 (phone) or 203-679-6142 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104131283 directly on the NPPES registry website.