Organization Active NPI

TSS LLC

Doing business as Green Mountain Nursing Home

  • Skilled Nursing Facility
  • Colchester, VT
National Provider Identifier
1063406593
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0270000353 Issued in VT
Legal business name
TSS LLC
Doing business as
Green Mountain Nursing Home
Practice address
475 Ethan Allen Ave
Colchester, VT 05446-3312
Phone
(802) 655-1025
Fax
(802) 655-1962
NPI assigned
Sep 12, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas E Rice Sr.
Title
Managing Partner
Phone
(802) 295-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0270000353 VT Primary

Addresses

Primary practice location

475 Ethan Allen Ave
Colchester, VT 05446-3312

Mailing address

475 Ethan Allen Ave
Colchester, VT 05446-3312
Phone (802) 655-1025

Other identifiers 1

IdentifierTypeStateIssuer
0475040MedicaidVT

Other names 1

  • Green Mountain Nursing Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D0091310Green Mountain Nursing Home475 Ethan Allen Ave, Colchester, VT 05446Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063406593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ETHAN ALLEN AVE",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463312",
            "telephone_number": "802-655-1025",
            "fax_number": "802-655-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 ETHAN ALLEN AVE",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463312",
            "telephone_number": "802-655-1025",
            "fax_number": "802-655-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "802-295-7511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": "0270000353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475040",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Mountain Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.