MASONICARE
NPI 1104131283
Rehabilitation Hospital in Wallingford, CT
NPI Status: Active since August 12, 2010
Contact Information
22 MASONIC AVE
REHAB DEPARTMENT
WALLINGFORD, CT
ZIP 06492
Phone: (203) 679-5900
Fax: (203) 679-6142
- Organization
- Rehabilitation Hospital
- CLIA Number: 07D2211030
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 01-25-2027
About MASONICARE
This page provides the complete NPI Profile along with additional information for Masonicare, a provider established in Wallingford, Connecticut operating as a Rehabilitation Hospital. The healthcare provider is registered in the NPI registry with number 1104131283 assigned on August 2010. The practitioner's primary taxonomy code is 283X00000X with license number 003288 (CT). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Susan Fagan Otr/l (Rehab Director)
- NPI
- 1104131283
- Provider Name
- MASONICARE
- Entity Type
- Organization
- Location Address
- 22 MASONIC AVE REHAB DEPARTMENT WALLINGFORD, CT 06492
- Location Phone
- (203) 679-5900
- Location Fax
- (203) 679-6142
- Mailing Address
- 22 MASONIC AVE REHAB DEPARTMENT WALLINGFORD, CT 06492
- Mailing Phone
- (203) 679-5900
- Mailing Fax
- (203) 679-6142
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-12-2010
- Last Update Date
- 08-12-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Hospital
- Taxonomy Code
- 283X00000X
- Type
- Hospitals
- License No.
- 003288
- License State
- CT
- Taxonomy Description
- A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D2211030
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- January 26, 2025
- Certificate Expiration Date
- January 25, 2027
- Laboratory Director
- OLENA KORYTNYUK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Masonicare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104131283, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
WALLINGFORD, CT 06492
WALLINGFORD, CT 06492
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104131283, enumerated as an "organization" on August 12, 2010.
The provider is located at 22 MASONIC AVE REHAB DEPARTMENT WALLINGFORD, CT 06492 and the phone number is (203) 679-5900.
Rehabilitation Hospital with taxonomy code 283X00000X.
