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Contact Information

THE MARY WADE HOME, INCORPORATED
118 CLINTON AVE
NEW HAVEN, CT06513-3100
 Phone: 203-562-7222
 Fax: 203-848-6386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Adult Care Home

311ZA0620X
 

Adult Day Care

261QA0600X
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for THE MARY WADE HOME, INCORPORATED

NPI # 1972633436
LBN Legal business name THE MARY WADE HOME, INCORPORATED
Authorized official WILLIAM GINTER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2007
Last updated 08/27/2020 - About 6 years ago
Identifiers
CT License # 1665-RCH
CT License # 2051-C
CT Medicaid 000020511
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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