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THE MEADOWS AT EAST MOUNTAIN NPI 1093154890


NPI Information

NPI: 1093154890
Provider Name: THE MEADOWS AT EAST MOUNTAIN
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 47D2203910

Address:
157 HERITAGE HILL PL
RUTLAND, VT
ZIP 05701
Phone: (802) 775-3300
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THE MEADOWS AT EAST MOUNTAIN is an assisted living facility in Rutland, VT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. THE MEADOWS AT EAST MOUNTAIN NPI is 1093154890. The provider is registered as an organization entity type.

The provider's business location address is:

157 HERITAGE HILL PL
RUTLAND, VT
ZIP 05701-811
Phone: (802) 775-3300

The provider's authorized official is John M Grimes .
The authorized official title is Administrator and has the following contact phone number (802) 775-3300.

The CLIA number assigned to this NPI record is 47D2203910 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2013 and was last updated on 6/14/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility1002VERMONTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1047W141MEDICAIDVERMONT

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: 4/28/2024

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