Organization
MASONICARE HOME HEALTH AND HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON-PAUL VENOIT (PRESIDENT CEO)
(203) 679-6000
Entity
Organization
Contact information
Practice address
110 S TURNPIKE RD, WALLINGFORD, CT 06492-4342
(203) 679-5200
Mailing address
PO BOX 70, WALLINGFORD, CT 06492-7001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C841181
CT
374U00000X
Home Health Aide
C841181
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004054789
—
CT
01
—
004129731
SELF DIRECTED
CT
01
—
682
BCBS
CT
01
—
9219590
UNEMPLOYMENT
CT
Enumeration date
10/18/2005
Last updated
10/29/2024
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