WINDOVER HOUSE INC (NPI# 1154446367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154446367 |
| Entity Type | Organization |
| Organization Name | WINDOVER HOUSE INC |
| Practice Address |
451 Vt Route 66 Randolph VT 05060-9387 |
| Practice Telephone | 8027283802 |
| Mailing Telephone | 8027283802 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD L JACOBS (PRESIDENT) |
| Authorized Official Telephone | 8027283802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
0109 | VT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | ACCS PROVIDER# | 047W101 | 01 |
| VT | ERC PROVIDER # | 047W047 | 01 |
| Street Address |
451 VT ROUTE 66 |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060-9387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| 1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
| 1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
| 1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
| 1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
| 1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
| 1891117545 | Penny Fossman | Registered Nurse | 44 S Main St, Randolph, VT 05060 | 2014-01-15 |
| 1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
| 1770840829 | Andrea L. Larosa | Nurse Practitioner | 44 South Main Street, Box 2000, Randolph, VT 05060 | 2012-04-13 |
| 1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
| Find all providers in zip 05060 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750772570 | Chika Patience Okerekw-nwankwo | Custodial Care Facility | 22 Marion Street, Randolph, MA 02368 | 2015-02-16 |
| 1467852640 | Good Shepherd Services | Custodial Care Facility | 103 Selwyn Rd, Randolph, MA 02368-5185 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929006 | Elcm Homestead Management LLC | Custodial Care Facility | 3 Harbor View Dr, Saint Albans, VT 05478-4477 | 2016-09-01 |
| 1518365485 | Bradford Oasis | Custodial Care Facility | 92 Cottage St, Bradford, VT 05033-8897 | 2014-12-09 |
| 1194920488 | Lakewood Adult Family Home Inc | Custodial Care Facility | 69 Rainbows End, Bomoseen, VT 05732-4417 | 2007-06-18 |
| 1457573545 | The Squier House, Inc. | Custodial Care Facility | 26 Union Street, Waterbury, VT 05676-0000 | 2007-05-02 |
| 1114142825 | Roxanne Hanson Ladabouche | Custodial Care Facility | 34 Canada St, Swanton, VT 05488-1041 | 2007-04-16 |
| 1538282140 | Sharon Sylvester | Custodial Care Facility | 70 Birch St, Bradford, VT 05033-9027 | 2007-04-09 |
| 1437272085 | Clarks Residential Care Home LLC | Custodial Care Facility | 213 Clark Rd, Hyde Park, VT 05655-9218 | 2007-04-09 |
| 1700905627 | The King's Daughters Home, Inc. | Custodial Care Facility | 10 Rugg St, Saint Albans, VT 05478-1713 | 2007-03-29 |
| 1528185360 | Craftsbury Community Care Center, Inc. | Custodial Care Facility | 1784 E Craftsbury Rd, Craftsbury, VT 05826-9519 | 2007-03-26 |
| 1508997487 | Mayo Healthcare Inc | Custodial Care Facility | 610 Water St, Northfield, VT 05663-5640 | 2007-03-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WINDOVER HOUSE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.