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The Mary Wade Home, Incorporated
Skilled Nursing Facility in New Haven, Connecticut
NPI 1972633436

The Mary Wade Home, Incorporated is a Skilled Nursing Facility 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. (Connecticut).

The current practice location address for The Mary Wade Home, Incorporated is 118 Clinton Ave, New Haven, CT and can be reached out via phone at 203-562-7222 and via fax at 203-848-6386. You can also correspond with The Mary Wade Home, Incorporated through the mailing address at 118 CLINTON AVE, NEW HAVEN, CT - 06513-3100 (mailing address contact number: 203-562-7222).

Location: 118 Clinton Ave, New Haven, CT, 06513-3100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972633436
Provider Name
The Mary Wade Home, Incorporated
Credential
Provider Entity Type
Organization
Address
118 Clinton Ave, New Haven, CT, 06513-3100
Phone Number
203-562-7222
Fax Number
203-848-6386
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000020511 05 CT
institution
Provider Business Practice Location Address Details
Address
118 Clinton Ave
City
New Haven
State
Connecticut
Zip
06513-3100
Phone Number
203-562-7222
Fax Number
203-848-6386
person
Provider Business Mailing Address Details
Address
118 Clinton Ave
City
New Haven
State
Connecticut
Zip
06513-3100
Phone Number
203-562-7222
Fax Number
203-848-6386
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
2051-C (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
261QR0400X
License No.
1665-RCH (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
(Connecticut)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 4
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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