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FOUR C'S INC. NPI 1871634352


NPI Information

NPI: 1871634352
Provider Name: FOUR C'S INC.

Doing Business As: HOLIDAY HOUSE

Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
642 SHELDON RD
SAINT ALBANS, VT
ZIP 05478
Phone: (802) 524-2996
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FOUR C'S INC. is a custodial care facility in Saint Albans, VT. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. FOUR C'S INC. NPI is 1871634352. The provider is registered as an organization entity type.
The provider Is Doing Business As Holiday House.

The provider's business location address is:

642 SHELDON RD
SAINT ALBANS, VT
ZIP 05478-014
Phone: (802) 524-2996
Fax: (802) 524-7634

The provider's authorized official is Coleen Kara Condon .
The authorized official title is Administrator and has the following contact phone number (802) 524-2996.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.


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
1311Z00000XCustodial Care Facility0541VERMONTYes

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
1047W246MEDICAIDVERMONT
2047W245MEDICAIDVERMONT
3047R036MEDICAIDVERMONT

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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