Madison House

LBN: Harborside Connecticut Limited Partnership
Madison House is an health care organization with primary practice located at 34 Wildwood Ave , Madison CT 06443. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Harborside Connecticut Limited Partnership can be contacted via phone (732) 566-6400, or through Berg, Michael T via phone (505) 468-4742.

Contact Information

Primary practice address
34 Wildwood Ave Madison CT 06443
Phone: (732) 566-6400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T
Phone: (505) 468-4742

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2201-C Connecticut

Profile Details

NPI number 1538191028
LBN Legal business name Harborside Connecticut Limited Partnership
DBA Doing business as Madison House
Authorized official Berg, Michael T
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2006
Last updated Oct 20th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538191028 NPPES
Connecticut MEDICAID 21444

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