Medical Management Plus

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDICAL MANAGEMENT PLUS

Practice address

1233 Silas Deane Hwy Ste 2
Wethersfield, CT 06109-4338

Phone

(860) 529-7900

Fax

(860) 529-7902

NPI assigned

May 30, 2008

Last updated

Sep 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shawn D Daigle

Title

Owner

Phone

(860) 529-7900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932367554. Details of each certification follow.

• CCN 077244 Home health agency · Active · Details

Home health agency certification: CCN 077244

Legal name

MEDICAL MANAGEMENT PLUS

Doing business as

MEDICAL MANAGEMENT PLUS, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 22, 2009

Last certification

Jun 21, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 24, 2007 in CT

Enrollment address

1233 Silas Deane Hwy
FL 2
Wethersfield, CT 06109-4301

Listed as

Medical Management Plus LLCCCN 077244 · All quality measures

Ownership

Proprietary

Certified

Jan 22, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1932367554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 SILAS DEANE HWY STE 2",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094338",
            "telephone_number": "860-529-7900",
            "fax_number": "860-529-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SILAS DEANE HWY STE 2",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094338",
            "telephone_number": "860-529-7900",
            "fax_number": "860-529-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "DAIGLE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-529-7900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren M McGrath, DPT
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• Jennifer McNamara, PT
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• Roberto M Medina, MD
• Sarah Mehigen, BCBA, LBA
• Tracee Joy Melendez, LCSW
• Mohammed A Memon, M.D.
• Anthea Mendez, APRN

• Home Health Agency in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.