Organization Active NPI

Leeway, Inc

  • Skilled Nursing Facility
  • New Haven, CT
National Provider Identifier
1629053079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2167-C Issued in CT
Legal business name
LEEWAY, INC
Practice address
40 Albert St
New Haven, CT 06511-1542
Phone
(203) 865-0068
Fax
(203) 865-0399
NPI assigned
Dec 8, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Martha Dale
Title
Executive Director
Phone
(203) 865-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2167-C CT Primary

Addresses

Primary practice location

40 Albert St
New Haven, CT 06511-1542

Mailing address

40 Albert St
New Haven, CT 06511-1542
Phone (203) 865-0068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100811000168 CT Part A Provider - Skilled Nursing Facility 6709916109 Practice locations: New Haven, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629053079. Details of each certification follow.

Skilled nursing facility certification: CCN 075408

Legal name
LEEWAY, INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 3, 1995
Last certification
Jun 6, 2024
Beds
30
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 19, 1990 in CT
Enrollment address
40 Albert St
New Haven, CT 06511-1542
Nursing home name
LEEWAY, INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Leeway, IncCCN 075408 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 3, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3029.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0921896Leeway, Inc40 Albert Street, New Haven, CT 06511Certificate of waiverNov 7, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Dyson Individual Corporate DirectorBoard Chair Jun 5, 1990
Patricia Comer Individual Corporate DirectorVice Chair Oct 1, 2018
Jay Katz Individual Corporate OfficerExecutive Director Sep 26, 2018
Operational/Managerial ControlExecutive Director Sep 26, 2018

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629053079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ALBERT ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111542",
            "telephone_number": "203-865-0068",
            "fax_number": "203-865-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ALBERT ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111542",
            "telephone_number": "203-865-0068",
            "fax_number": "203-865-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEWAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-865-0068",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2167-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.