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VERMONT CATHOLIC CHARITIES INC. NPI 1518078666


NPI Information

NPI: 1518078666
Provider Name: VERMONT CATHOLIC CHARITIES, INC.

Doing Business As: MICHAUD MEMORIAL MANOR

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
47 HERRICK ROAD
DERBY LINE, VT
ZIP 05830
Phone: (802) 873-3152
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VERMONT CATHOLIC CHARITIES, INC. is an adult care home custodial care facility in Derby Line, VT. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. VERMONT CATHOLIC CHARITIES, INC. NPI is 1518078666. The provider is registered as an organization entity type.
The provider Is Doing Business As Michaud Memorial Manor.

The provider's business location address is:

47 HERRICK ROAD
DERBY LINE, VT
ZIP 05830-759
Phone: (802) 873-3152
Fax: (802) 864-7297

The provider's authorized official is Denise M Payea .
The authorized official title is Business Manager and has the following contact phone number (802) 658-6111.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home0143VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1047W096MEDICAIDVERMONT
2047W058MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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