HABIT OPCO, LLC (NPI# 1912155516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912155516 |
| Entity Type | Organization |
| Organization Name | HABIT OPCO, LLC |
| Other Organization Name | HABIT OPCO-BRATTLEBORO |
| Practice Address |
16 Town Crier Drive Brattleboro VT 05304 |
| Mailing Address |
6185 Paseo Del Norte, Ste 150 Carlsbad CA 92011 |
| Practice Telephone | 8022584623 |
| Practice Fax Number | 8022584629 |
| Mailing Telephone | 8552592288 |
| Mailing Fax Number | 7609308923 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | JOHN PELOQUIN (CTC DIVISION PRESIDENT) |
| Authorized Official Telephone | 8552592288 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1015464 | 05 |
| Other Name | Type Code |
|---|---|
| Habit OPCO-Brattleboro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386888279 | Habit Opco, LLC | Clinic/Center | 111 Highway 35, Suite 7, Cliffwood, NJ 07721-1515 | 2009-04-23 |
| 1023175072 | Habit Opco, LLC | Clinic/Center | 511 East Columbus Ave., Springfield, MA 01105 | 2007-01-02 |
| 1639689292 | Habit Opco, LLC | Clinic/Center | 1 Main St Lowr, South Amboy, NJ 08879-1142 | 2017-10-09 |
| 1861902926 | Habit Opco, LLC | Clinic/Center | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2017-10-03 |
| 1043720113 | Habit Opco, LLC | Clinic/Center | 20 Market St, Manchester, NH 03101-1957 | 2017-10-03 |
| 1033629100 | Habit Opco, LLC | Clinic/Center | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2017-10-03 |
| Street Address |
16 TOWN CRIER DRIVE |
| City | BRATTLEBORO |
| State | VT |
| Zip Code | 05304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921179 | Advanced Skin Care Solutions | Student in an Organized Health Care Education/Training Program | 17 Elliot St, Brattleboro, VT 05301-3209 | 2020-10-28 |
| 1235757121 | Brattleboro Dental Care LLC | Dentist | 80 Flat St Ste 101, Brattleboro, VT 05301-3258 | 2020-07-08 |
| 1427673243 | Jenna Rogge | Dentist | 1212 Putney Rd, Brattleboro, VT 05301-5102 | 2020-06-09 |
| 1992320634 | Casey Dee Milkey | Audiologist-Hearing Aid Fitter | 130 Austine Dr Ste 310, Brattleboro, VT 05301-7040 | 2020-06-09 |
| 1073133831 | Gwynn Yandow | Social Worker | 21 Robin Way, Brattleboro, VT 05301-4277 | 2020-04-22 |
| 1366002636 | Brattleboro Retreat | Psychiatric Residential Treatment Facility | 24 Linden Street, Brattleboro, VT 05302 | 2019-06-18 |
| 1588223374 | River Bend Chiropractic | Chiropractor | 316 Western Ave Ste 1, Brattleboro, VT 05301-3299 | 2019-06-06 |
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1205492196 | John-paul Cloutier | Nurse Practitioner | 1 Anna Marsh Ln, Brattleboro, VT 05302 | 2019-05-15 |
| 1467919308 | Maria L. Alfaro | Dietitian, Registered | 132 Main St Apt 303, Brattleboro, VT 05301-3034 | 2019-02-27 |
| Find all providers in BRATTLEBORO | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902926 | Habit Opco, LLC | Clinic/Center | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021408 | Baart Behavioral Health Services, Inc | Clinic/Center | 617 Comstock Rd Ste 5, Berlin, VT 05602-8498 | 2019-03-11 |
| 1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
| City | BRATTLEBORO |
| Zip Code | 05304 |
Please comment or provide details below to improve the information on HABIT OPCO, LLC.
| 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.