Organization Active NPI

Vermont Veterans' Home

  • Skilled Nursing Facility
  • Bennington, VT
National Provider Identifier
1023090651
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0475032MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
GovernmentNon-profit
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' HomeCCN 475032 · All quality measures
Overall star rating
1 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Mar 13, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
17783.3 residents per day on average
Penalties (3 years)
1Fines totaling $8,278

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Steven J McClafferty Individual Operational/Managerial ControlFinance Director Mar 26, 2012 25%
Melissa a Jackson Individual Operational/Managerial ControlCeo 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.

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

Sources for this page

Verify at the official NPI Registry.