Active NPI
Vermont Veterans' Home
- Skilled Nursing Facility
- Bennington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VERMONT VETERANS' HOME
- Practice address
- 325 North Street
Bennington, VT 05201-1858 - Phone
- (802) 448-6353
- Fax
- (802) 447-6466
- NPI assigned
- Nov 18, 2005
- Last updated
- Apr 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa A Jackson, BSW, LNHA
- Title
- Chief Executive Officer
- Phone
- (802) 447-6533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | VT | Primary |
Addresses
Primary practice location
325 North Street
Bennington, VT 05201-1858
Mailing address
325 North Street
Bennington, VT 05201-1858
Phone (802) 447-6353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0475032 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070226000726 | VT | Part A Provider - Skilled Nursing Facility | 9133221864 | Practice locations: Bennington, VT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1023090651. Details of each certification follow.
Skilled nursing facility certification: CCN 475032
- Legal name
- VERMONT VETERANS' HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 13, 1989
- Last certification
- Jan 29, 2025
- Beds
- 177
- Ownership / control type
- State
- Organization structure
- Government
- Incorporated
- Apr 1, 1884 in VT
- Enrollment address
- 325 North St
Bennington, VT 05201-1937 - Nursing home name
- VERMONT VETERANS' HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Vermont Veterans' Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - State
- Certified
- Mar 13, 1989
- Medicare certification status
- Active
- Certified beds
- 177
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Steven J McClafferty | Operational/Managerial Control | Mar 26, 2012 | 25% |
| Melissa a Jackson | Operational/Managerial Control | Jan 3, 2011 | 100% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Bennington, VT
- NPI 1255575379
-
- Adult Medicine Physician
- Bennington, VT
- NPI 1245345917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523836800000",
"number": "1023090651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 NORTH STREET",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052011858",
"telephone_number": "802-447-6353",
"fax_number": "802-447-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 NORTH STREET",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052011858",
"telephone_number": "802-448-6353",
"fax_number": "802-447-6466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERMONT VETERANS' HOME",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2018-04-16",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "802-447-6533",
"authorized_official_credential": "BSW, LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0475032",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bennington, VT
- Vermont CVS Pharmacy, LLC (CVS Pharmacy #00337)
- Vermont Family Dental PLC (Roligo - Union Street Dental)
- Vermont Permanency Initiative, Inc.
- Vermont Valley Physical Therapy
- Vermont Veterans Home
- Matthew R Vernon, M.D.
- Jeffrey Joseph Videtto, PT
- Chito Villarin
- Paul L Vinsel, DO
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2289)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.