The Mary Wade Home, Incorporated

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2051-C Issued in CT

Legal business name

THE MARY WADE HOME, INCORPORATED

Practice address

118 Clinton Ave
New Haven, CT 06513-3100

Phone

(203) 562-7222

Fax

(203) 848-6386

NPI assigned

Mar 6, 2007

Last updated

Aug 27, 2020By 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

William Charles Ginter

Title

Cfo

Phone

(203) 672-7817

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972633436. Details of each certification follow.

• CCN 075325 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 075325

Legal name

THE MARY WADE HOME, INCORPORATED

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 11, 1989

Last certification

Feb 25, 2025

Beds

94

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 2, 1982 in CT

Enrollment address

118 Clinton Ave
New Haven, CT 06513-3100

Nursing home name

MARY WADE HOME, THE INCORPORATED

Listed as

Mary Wade HomeCCN 075325 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Sep 11, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4584.0 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

2Fines totaling $20,144

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 14

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

Affiliated clinicians 4

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

• Evan Angelus, MD

  • Internal Medicine Physician
  • West Haven, CT
  • NPI 1538788609

  Nursing home

  Care Compare affiliation
• Paula Andrea Ortiz, M.D.

  • Internal Medicine Physician
  • West Haven, CT
  • NPI 1619358124

  Nursing home

  Care Compare affiliation
• Anu Walaliyadda, M.D.

  • Internal Medicine Physician
  • West Haven, CT
  • NPI 1568468239

  Nursing home

  Care Compare affiliation
• Lena Wu Rivas, M.D.

  • Internal Medicine Physician
  • Milford, CT
  • NPI 1679806046

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1972633436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CLINTON AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133100",
            "telephone_number": "203-562-7222",
            "fax_number": "203-848-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CLINTON AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133100",
            "telephone_number": "203-562-7222",
            "fax_number": "203-848-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARY WADE HOME, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "GINTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "203-672-7817"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CT",
            "license": "1665-RCH",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2051-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020511",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in New Haven, CT
• Providers in New Haven, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.