34 Wildwood Ave Opco LLC
Skilled Nursing Facility in Madison, Connecticut
1750168704- Practice location
- 34 Wildwood Ave, Madison, CT 06443-2102
- Phone
- 732-358-6883
- Fax
- —
- Last updated
- September 13, 2023
34 Wildwood Ave Opco LLC is a healthcare organization based in Madison, CT. 34 Wildwood Ave Opco LLC practices in Madison, CT. The NPI Number for 34 Wildwood Ave Opco LLC is 1750168704. The current practice location address for 34 Wildwood Ave Opco LLC is 34 Wildwood Ave, Madison, CT 06443-2102 and can be reached out via phone at 732-358-6883.
Provider Profile Details
- NPI Number
- 1750168704
- Provider Name
- 34 Wildwood Ave Opco LLC
- Provider Entity Type
- Organization
- Address
- 34 Wildwood Ave, Madison, CT 06443-2102
- Phone Number
- 732-358-6883
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Sam Stern · Cfo · 877-567-0402
- Other Names
- Autumn Lake Healthcare At Madison (Doing Business As)
- Provider Enumeration Date
- September 13, 2023
- Last Update Date
- September 13, 2023
- Certification Date
- September 13, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 34 Wildwood Ave
Madison, CT 06443-2102 - City
- Madison
- State
- Connecticut
- Zip
- 06443-2102
- Phone Number
- 732-358-6883
Provider Business Mailing Address Details
- Address
- 14C 53RD St
Brooklyn, NY 11232-2644 - City
- Brooklyn
- State
- NY
- Zip
- 11232-2644
- Phone Number
- 877-567-0402
License Information
- Taxonomy (1)
- Nursing Facility/Intermediate Care Facility · 313M00000X
- Taxonomy (2)
- Respite Care · 385H00000X
- Taxonomy (3)
- Skilled Nursing Facility · 314000000X · 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 34 Wildwood Ave Opco LLC?
The NPI number of 34 Wildwood Ave Opco LLC is 1750168704. It was assigned on September 13, 2023 and is currently active in the NPPES registry.
What is the specialty of 34 Wildwood Ave Opco LLC?
34 Wildwood Ave Opco LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 34 Wildwood Ave Opco LLC practice?
The practice location is 34 Wildwood Ave, Madison, CT 06443-2102. The office can be reached at 732-358-6883 (phone).
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 1750168704 directly on the NPPES registry website.