ELCM HOMESTEAD MANAGEMENT LLC NPI 1669929006

NPI Information

  • NPI: 1669929006
  • Provider Name: ELCM HOMESTEAD MANAGEMENT LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Doing Business As: HOMESTEAD AT PILLSBURY MANOR
  • Address: 3 HARBOR VIEW DR
    SAINT ALBANS, VT
    ZIP 05478
  • Phone: (802) 752-2100

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NPI Details

ELCM HOMESTEAD MANAGEMENT LLC is an adult care home custodial care facility in Saint Albans, VT. The provider is 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. ELCM HOMESTEAD MANAGEMENT LLC NPI is 1669929006. The provider is registered as an organization entity type.
The provider Is Doing Business As Homestead At Pillsbury Manor.

The provider's business location address is:

3 HARBOR VIEW DR
SAINT ALBANS, VT
ZIP 05478-477
Phone: (802) 752-2100
Fax: (802) 752-2057

The provider's authorized official is Paul Boethel .
The authorized official title is Principal and has the following contact phone number (972) 728-8739.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeIN PROCESSVERMONTYes

What is NPI?

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This page was last updated on: 11/21/2025

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