34 WILDWOOD AVE OPCO LLC
NPI 1750168704
Skilled Nursing Facility in Madison, CT
About 34 Wildwood Ave Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
34 WILDWOOD AVE OPCO LLC (NPI 1750168704), doing business as Autumn Lake Healthcare At Madison, is a healthcare organization registered as a skilled nursing facility in Madison, Connecticut and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Sam Stern, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 07D0888513
34 Wildwood Ave Opco LLC Autumn Lake Healthcare At Madison · Madison, CTNursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Autumn Lake Healthcare At Madison (CMS certification number 075405), from CMS Care Compare.
Autumn Lake Healthcare At Madison
Nursing home · Madison, CTCMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, CT 06443
MADISON, CT 06443
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is 34 Wildwood Ave Opco LLC's NPI number?
The NPI number for 34 Wildwood Ave Opco LLC is 1750168704. It was assigned to this organization in the NPPES registry on September 13, 2023. The provider is doing business as Autumn Lake Healthcare at Madison.
Where is 34 Wildwood Ave Opco LLC located?
34 Wildwood Ave Opco LLC is located at 34 Wildwood Ave, Madison, CT 06443. The listed phone number is (732) 358-6883.
What is 34 Wildwood Ave Opco LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does 34 Wildwood Ave Opco LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D0888513) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is 34 Wildwood Ave Opco LLC a Medicare-certified nursing home?
Yes. Autumn Lake Healthcare At Madison is a Medicare-certified nursing home with 90 certified beds.
What quality rating does 34 Wildwood Ave Opco LLC have?
CMS rates Autumn Lake Healthcare At Madison 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.
When was this NPI record last updated?
The NPPES record for 34 Wildwood Ave Opco LLC was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.