COUNTRY VILLAGE COMMUNITY CARE HOME INC; NPI #1982818522

Contact Information

COUNTRY VILLAGE COMMUNITY CARE HOME INC

99 ATKINSON ST
BELLOWS FALLS, VT 05101-1302

Phone: 802-463-4722
Fax: 802-463-1986
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health or Welfare	251K00000X	60	Public Health or Welfare Agency

Indicates primary specialty

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NPI Profile & details for COUNTRY VILLAGE COMMUNITY CARE HOME INC

NPI # 1982818522

LBN Legal business name COUNTRY VILLAGE COMMUNITY CARE HOME INC

Authorized official EDGAR GREASON - (VICE PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/10/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

VT	License #	0018
VT	Medicaid	047W140
VT	Medicaid	047W189

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COUNTRY VILLAGE COMMUNITY CARE HOME INC

Contact Information

Specialty

Public Health or Welfare

NPI Profile & details for COUNTRY VILLAGE COMMUNITY CARE HOME INC

Reviews for COUNTRY VILLAGE COMMUNITY CARE HOME INC