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Contact Information

GREEN MOUNTAIN ADULT DAY SERVICES, LLC
148 PROUTY DR
NEWPORT, VT05855-9513
 Phone: 802-334-3188
 Fax: 802-334-3188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Day Care

261QA0600X
Indicates primary specialty

NPI Profile & details for GREEN MOUNTAIN ADULT DAY SERVICES, LLC

NPI Number 1508080334
LBN Legal business name GREEN MOUNTAIN ADULT DAY SERVICES, LLC
Authorized official DAVID SILVER - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
VT License # NA
VT Medicaid 047W063
VT Medicaid 047W134
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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