Carlos G Otis Health Care Center Inc
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Townshend, VT
NPI 1093843328 · NPPES record last updated Aug 3, 2026
Key facts
- NPI
- 1093843328
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 686 (VT)
- Legal business name
- CARLOS G OTIS HEALTH CARE CENTER INC
- Practice address
- 185 Grafton Rd
Townshend, VT 05353 - Phone
- (802) 365-7357
- Fax
- (802) 365-7031
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Stephen Alan Brown
- Title
- Cfo
- Phone
- (802) 365-3601
Owners & managing parties with NPI records 1
-
Timothy Shafer, M.D.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 3
Member of 1
Related certifications (CCN) 1
Practitioners 92
-
Kimona Alin, M.D.
-
Ewa Arnold, M.D
-
Juliette Carr, APRN
-
Meredith L Kenyon, LICSW
-
Susan Beth Kinnersley, LICSW
-
Danica GZL Lobaton Coppolo, RN, FNP-C
-
Jeremy Morrison, D.O.
-
Joshua Adam Rosenblum, PA-C
-
Timothy Shafer, M.D.
-
Rachel Spengler, PA-C
-
George P. Terwilliger, M.D.
-
Benjamin Warren Wright, PMHNP-BC
-
Anne Brewer, MD
-
Nancy Lucas Castner, DNP, APRN, FNP-C
-
Craig E Goldberg, DO
-
Alison B Haimes, M.D.
-
Natalie Harding, PA-C
-
Kimberly Joyce Jordan, M.D.
Affiliated clinicians 6
-
Kimona Alin, M.D.
-
George P. Terwilliger, M.D.
-
Craig E Goldberg, DO
-
Benjamin William Woodard, MSN, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VT
Hospital certification: CCN 47Z300
- Legal name
- CARLOS G OTIS HEALTH CARE CENTER INC
- Doing business as
- GRACE COTTAGE HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 7, 1949 in VT
- Enrollment address
- 185 Grafton Rd
Townshend, VT 53538820
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Alexandra a. Clark |
Corporate Director |
Jan 21, 2014 | |
| Edward Druke |
Corporate Officer |
Nov 20, 2015 | |
| Roger Allbee |
Corporate Officer |
Apr 20, 2014 | |
| W-2 Managing Employee |
Apr 20, 2014 | ||
| Cheryl a Sanctuary |
Corporate Director |
Nov 21, 2014 | |
| Timothy Philip Shafer |
Corporate Director |
Nov 23, 2009 | |
| John Karl Nopper |
Corporate Director |
Nov 16, 2012 | |
| Martha Dale |
Corporate Director |
Nov 21, 2014 | |
| Kevin Meyer |
Corporate Officer |
Jan 5, 2009 | |
| John G. Clark |
Corporate Director |
Jul 12, 2017 | |
| Barry Emerson |
Corporate Officer |
Nov 18, 2011 | |
| Shelia Scheuerman |
Corporate Director |
Nov 17, 2017 | |
| Stephen Alan Brown |
Corporate Officer |
Dec 1, 1988 | |
| W-2 Managing Employee |
Feb 1, 1988 | ||
| Stephan Morse |
Corporate Officer |
Nov 22, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040802001147 | VT | Part B Supplier - Clinic/Group Practice | 6002726387 |
Receives reassigned benefits from 89 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Townshend, VT |
| O20210831002931 | VT | Part a Provider - Critical Access Hospital | 6002726387 | Practice locations: Townshend, VT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 686 | VT | Yes |
Addresses
Primary practice location
185 Grafton Rd
Townshend, VT 05353
Mailing address
PO Box 216
Townshend, VT 05353-0216
Phone (802) 365-3601
Other names
- GRACE COTTAGE SWING BED
Other providers in Townshend, VT
- Danny Paul Ballentine
- Alexandra Barstow
- Amy Blazej
- Jesper Brickley
- Summer Burch
- Carlos G Otis Health Care Center Inc
- Carlos G Otis Health Care Center Inc
- Carlos G. Otis Health Care Center Inc.
- Juliette Carr
- Matthew Allen Davis
All providers in Townshend, VT · Medicare Defined Swing Bed Hospital Unit in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.