34 Wildwood Ave Opco LLC
NPI 1750168704ActiveOrganization· Skilled Nursing Facility· Madison, CT
Skilled Nursing Facility in Madison, Connecticut, registered in NPPES in September 2023. The authorized official on file is Sam Stern, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1750168704 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2023 |
| Last updated in NPPES | Sep 13, 2023 |
| Certified by provider | Sep 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
| Nursing Facility/Intermediate Care Facility | 313M00000X | — | — |
| Respite Care | 385H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CT) |
|---|
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