TRUSTEES OF THE GILL ODD FELLOWS HOME OF VERMONT (NPI# 1417958356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417958356 |
Entity Type | Organization |
Organization Name | TRUSTEES OF THE GILL ODD FELLOWS HOME OF VERMONT |
Other Organization Name | GILL ODD FELLOWS HOME |
Practice Address |
8 Gill Ter Ludlow VT 05149-1004 |
Mailing Address |
8 Gill Terrace Ludlow VT 05149 |
Practice Telephone | 8022284571 |
Practice Fax Number | 8022282229 |
Mailing Telephone | 8022284571 |
Mailing Fax Number | 8022282229 |
Enumeration Date | 2005-08-02 |
Last Update Date | 2014-05-15 |
Authorized Official Name | MRS. THERESA C. SOUTHWORTH (NURSING HOME ADMINISTRATOR) |
Authorized Official Telephone | 8022284571 |
Authorized Official Credential | NURSING HOME ADM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 385H00000X | Respite Care | VT | Respite Care Facility | |
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | VT | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | RESPITE PROVIDER# | 047R008 | 01 |
VT | 047-5052 | 05 |
Other Name | Type Code |
---|---|
GILL ODD FELLOWS HOME | Doing Business As Name - Organization |
Street Address |
8 GILL TER |
City | LUDLOW |
State | VT |
Zip Code | 05149-1004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063610913 | Abigail T. Abbott | Physical Therapist | 8 Gill Ter, Ludlow, VT 05149-1004 | 2007-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285640490 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 213 Main Street, Ludlow Shopping Plaza, Ludlow, VT 05149 | 2006-07-31 |
1265407613 | Linda Mr Thomson | Nurse Practitioner | 131 Thomson Dr, Ludlow, VT 05149 | 2006-02-21 |
1063485787 | Ann K Rubright | Physical Therapist | 60 Bixby Rd, Ludlow, VT 05149 | 2006-02-13 |
1427021187 | Mountain View Physical Therapy PC | Clinic/Center | 60 Bixby Road, Ludlow, VT 05149 | 2006-02-10 |
1447223847 | Patricia L Brown | Family Medicine | 1 Elm Street, Ludlow, VT 05149 | 2006-02-08 |
1295194470 | Heidi Lowe | Social Worker | 1 Elm Street, Ludlow, VT 05149 | 2016-02-17 |
1871771741 | Susan Hart Davis | Speech-Language Pathologist | 8 Gill Terrace, Ludlow, VT 05149 | 2008-02-04 |
1669658548 | Tammy M Ricard | Occupational Therapy Assistant | 8 Gill Terrace, Gill Odd Fellows Home, Ludlow, VT 05149 | 2008-01-10 |
1235102997 | Margaret R Vanden Bergh | Physical Therapist | 60 Bixby Road, Ludlow, VT 05149 | 2006-02-10 |
1477925949 | Attuned Eating and Living Center, LLC | Counselor | 70 Main Street, Ludlow, VT 05149-0366 | 2015-10-23 |
Find all providers in zip 05149 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366832230 | Gifford Retirement Community, Inc | Nursing Facility/Intermediate Care Facility | 3556 Rt 66, Randolph, VT 05060-1318 | 2015-01-30 |
1528361326 | Forest Hill Residential Care Home | Nursing Facility/Intermediate Care Facility | 213 Clark Drive, Hyde Park, VT 05655-9218 | 2010-12-16 |
1932248309 | Brattleboro Mutual Aid Association, Inc. | Nursing Facility/Intermediate Care Facility | 80 Maple St, Brattleboro, VT 05301-6551 | 2007-02-05 |
1861488520 | Merten's House | Nursing Facility/Intermediate Care Facility | 73 River St, Woodstock, VT 05091-1226 | 2005-09-27 |
1124027503 | Mcgirr Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 33 Atkinson St, Bellows Falls, VT 05101-1502 | 2005-07-19 |
1588666754 | Cedar Hill Health Care Corporation | Nursing Facility/Intermediate Care Facility | 49 Cedar Hill Dr, Windsor, VT 05089-9470 | 2005-06-01 |
1942629860 | Maple Hill Residential Care Home | Nursing Facility/Intermediate Care Facility | 26 Union St, Waterbury, VT 05676-1303 | 2014-04-08 |
1497173470 | David W Anderson | Nursing Facility/Intermediate Care Facility | 26 Union St, Waterbury, VT 05676-1303 | 2014-04-07 |
1295172369 | Cm Healthcare LLC | Nursing Facility/Intermediate Care Facility | 312 Crescent Blvd, Bennington, VT 05201-2419 | 2013-05-30 |
1720374952 | Gifford Medical Center | Nursing Facility/Intermediate Care Facility | 44 S Main St, Randolph, VT 05060-1381 | 2011-06-27 |
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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.