The Mary Wade Home, Incorporated
Skilled Nursing Facility in New Haven, Connecticut
1972633436- Practice location
- 118 Clinton Ave, New Haven, CT 06513-3100
- Phone
- 203-562-7222
- Fax
- 203-848-6386
- Last updated
- August 27, 2020
The Mary Wade Home, Incorporated is a healthcare organization based in New Haven, CT. The Mary Wade Home, Incorporated practices in New Haven, CT. The NPI Number for The Mary Wade Home, Incorporated is 1972633436 and holds a License No. 1665-RCH (CT). The current practice location address for The Mary Wade Home, Incorporated is 118 Clinton Ave, New Haven, CT 06513-3100 and can be reached out via phone at 203-562-7222 and via fax at 203-848-6386.
Provider Profile Details
- NPI Number
- 1972633436
- Provider Name
- The Mary Wade Home, Incorporated
- Provider Entity Type
- Organization
- Address
- 118 Clinton Ave, New Haven, CT 06513-3100
- Phone Number
- 203-562-7222
- Fax Number
- 203-848-6386
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- William Charles Ginter · Cfo · 203-672-7817
- Provider Enumeration Date
- March 6, 2007
- Last Update Date
- August 27, 2020
- Certification Date
- August 26, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 118 Clinton Ave
New Haven, CT 06513-3100 - City
- New Haven
- State
- Connecticut
- Zip
- 06513-3100
- Phone Number
- 203-562-7222
- Fax Number
- 203-848-6386
Provider Business Mailing Address Details
- Address
- 118 Clinton Ave
New Haven, CT 06513-3100 - City
- New Haven
- State
- CT
- Zip
- 06513-3100
- Phone Number
- 203-562-7222
- Fax Number
- 203-848-6386
License Information
- Taxonomy (1)
- Clinic/Center, Adult Day Care · 261QA0600X
- License State (2)
- CT
- Taxonomy (2)
- Clinic/Center, Rehabilitation · 261QR0400X
- License Number (3)
- 1665-RCH
- License State (3)
- CT
- Taxonomy (3)
- Custodial Care Facility, Adult Care Home · 311ZA0620X
- License Number (4)
- 2051-c
- License State (4)
- CT
- Taxonomy (4)
- 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. | |||
Other Skilled Nursing Facility providers near New Haven, CT
View all Skilled Nursing Facility providers in New Haven →- 915 Ella T Grasso Boulevard Operations LLCSkilled Nursing Facility · NPI 1760633366
- Advanced Center For Nursing & Rehabilitation LLCSkilled Nursing Facility · NPI 1336599497
- Advanced Nursing & Rehabilitation Center Of New Haven LLCSkilled Nursing Facility · NPI 1285939041
- Haven Health Center Of New Haven, LLCSkilled Nursing Facility · NPI 1043207723
- Jewish Home For AgedSkilled Nursing Facility · NPI 1154318335
- Leeway, INCSkilled Nursing Facility · NPI 1629053079
Frequently Asked Questions
What is the NPI number of The Mary Wade Home, Incorporated?
The NPI number of The Mary Wade Home, Incorporated is 1972633436. It was assigned on March 6, 2007 and is currently active in the NPPES registry.
What is the specialty of The Mary Wade Home, Incorporated?
The Mary Wade Home, Incorporated is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in CT under license number 1665-RCH.
Where does The Mary Wade Home, Incorporated practice?
The practice location is 118 Clinton Ave, New Haven, CT 06513-3100. The office can be reached at 203-562-7222 (phone) or 203-848-6386 (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 1972633436 directly on the NPPES registry website.