Organization Active NPI

Masonicare Home Health and Hospice, Inc.

  • Assisted Living Facility
  • Norwich, CT
National Provider Identifier
1184280893
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MASONICARE HOME HEALTH AND HOSPICE, INC.
Practice address
3 Myrtle Dr
Norwich, CT 06360-1545
Phone
(860) 889-2139
NPI assigned
May 17, 2019
Organization subpart
Yes
Parent organization
MASONICARE HOME HEALTH AND HOSPICE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jon-Paul Venoit
Title
President and Ceo
Phone
(203) 679-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3 Myrtle Dr
Norwich, CT 06360-1545

Mailing address

PO Box 70
Wallingford, CT 06492-7001
Phone (203) 678-7855

Other practice location 1

15 Woodland St
Hartford, CT 06105-2321
Phone (860) 525-4228

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Vna3 organizations share this tax ID, including this one
Part of
Connecticut Vna

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1184280893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064927001",
            "telephone_number": "203-678-7855",
            "fax_number": "203-678-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MYRTLE DR",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063601545",
            "telephone_number": "860-889-2139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Woodland St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061052321",
            "country_code": "US",
            "telephone_number": "860-525-4228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MASONICARE HOME HEALTH AND HOSPICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASONICARE HOME HEALTH AND HOSPICE, INC.",
        "enumeration_date": "2019-05-17",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "VENOIT",
        "authorized_official_first_name": "JON-PAUL",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "203-679-6000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.