Wellcare of Connecticut, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

WELLCARE OF CONNECTICUT, INC.

Practice address

2319 Whitney Avenue
6TH Floor
Hamden, CT 06518

Phone

(800) 925-3606

NPI assigned

May 22, 2008

Organization subpart

Yes

Parent organization

WELLCARE HEALTH PLANS, INC.As reported in NPPES

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

Authorized official

Name

Michael Haber

Title

Assistant Secretary

Phone

(813) 206-2702

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790942100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143",
            "telephone_number": "813-290-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 WHITNEY AVENUE",
            "address_2": "6TH FLOOR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06518",
            "telephone_number": "800-925-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE OF CONNECTICUT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLCARE HEALTH PLANS, INC.",
        "enumeration_date": "2008-05-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "813-206-2702"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004206505",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Rachel Weinberger
• Lauren Weindling, PAC
• Hannah Elizabeth Weinstock, ATC
• Jordan John Weisensel
• Barry Weiss, D.M.D.
• Michael Wenger
• Jennifer Elizabeth West, APRN
• James David Weston, O.D.
• Mark Whelan, PA
• Jordan Marie Whichard

• Health Maintenance Organization in Hamden, CT
• Providers in Hamden, CT by specialty
• Health Maintenance Organization in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.