Active NPI
Masonicare Home Health and Hospice, Inc.
- Assisted Living Facility
- Norwich, CT
National Provider Identifier
1184280893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Vna
- Part of
- Connecticut Vna
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Wallingford, CT
- NPI 1225151822
-
- Community Based Hospice Care Agency
- Westerly, RI
- NPI 1679168355
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.