EAGLE EYE FARM REHABILITATION CENTER (NPI# 1225199136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225199136 |
| Entity Type | Organization |
| Organization Name | EAGLE EYE FARM REHABILITATION CENTER |
| Practice Address |
3014 Abbott Hill Road Newark VT 05871 |
| Mailing Address |
Po Box 247 West Burke VT 05871-0247 |
| Practice Telephone | 8025256939 |
| Mailing Telephone | 8025256939 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SARAH JANE R ALEXANDER (OPERATIONS MANAGER) |
| Authorized Official Telephone | 8025256939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 0513 | VT | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1012106 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356434831 | Eagle Eye Farm Rehabilitation Center | Community Based Residential Treatment Facility, Mental Illness | 3014 Abbott Hill Road, Newark, VT 05871 | 2006-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | EAGLE EYE FARM REHABILITATION CENTER, INC. | 3014 Abbott Hill Road, West Burke, VT 05871 |
| Street Address |
3014 ABBOTT HILL ROAD |
| City | NEWARK |
| State | VT |
| Zip Code | 05871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356434831 | Eagle Eye Farm Rehabilitation Center | Community Based Residential Treatment Facility, Mental Illness | 3014 Abbott Hill Road, Newark, VT 05871 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265777387 | Kristine Kellar | Counselor | 530 Bumps Rd, West Burke, VT 05871-4413 | 2012-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487709 | Shannon Paige Bailey | Registered Nurse | 719 Elkton Rd, Newark, DE 19711-4919 | 2020-11-05 |
| 1003417288 | Ariane Monique Chua Dequina | Registered Nurse | 340 Airis Drive, Newark, NJ 07114 | 2020-11-04 |
| 1861093270 | Ocean Klein | Homemaker | 180 Hilltop Dr Ne, Newark, OH 43055-8942 | 2020-11-03 |
| 1902407497 | Brooke Ashley Sforza | Nurse Practitioner | 7518 Linnville Rd, Newark, OH 43056-9340 | 2020-11-03 |
| 1699376129 | Star Medcare PC | Physical Medicine & Rehabilitation | 62 Elizabeth Ave., Newark, NJ 07108 | 2020-11-02 |
| 1013517747 | Guardian Angel Home Health Care Agency, LLC | Home Health Aide | 30 Prestbury Sq Ste 301, Newark, DE 19713-3235 | 2020-10-30 |
| 1528668431 | Newark Resident Homes | In Home Supportive Care | 175 S Williams St, Newark, OH 43055-3968 | 2020-10-29 |
| 1437759412 | Teresa Smoke | Homemaker | 2003 Lundys Ln, Newark, OH 43055-9543 | 2020-10-28 |
| 1710587902 | Stephanie Prather | Clinical Exercise Physiologist | 24 Celestial Way, Newark, DE 19711-1914 | 2020-10-28 |
| 1457951717 | Christa Ware | Homemaker | 610 Seneca Dr, Newark, OH 43055-3767 | 2020-10-27 |
| Find all providers in NEWARK | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568713832 | Pain Solution Centers of Delaware | Residential Treatment Facility, Physical Disabilities | 630 Churchmans Rd, Suite 109, Newark, DE 19702-1900 | 2012-09-27 |
| 1649334814 | Newark Physical Therapy | Residential Treatment Facility, Physical Disabilities | 1 Bloomfield Ave, Ste. 201, Newark, NJ 07104-4807 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790862829 | Riverview Life Skills Center, Inc. | Residential Treatment Facility, Physical Disabilities | 197 Highlander Dr, Jeffersonville, VT 05464-9591 | 2006-11-01 |
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| 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.