Gingras Community Care Home

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

0312 Issued in VT

Legal business name

GINGRAS COMMUNITY CARE HOME

Practice address

24 Averill St
Barre, VT 05641-3818

Phone

(802) 479-9647

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Susan Gingras

Title

Owner/Manager

Phone

(802) 479-9647

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154405728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 AVERILL ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056413818",
            "telephone_number": "802-479-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 AVERILL ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056413818",
            "telephone_number": "802-479-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINGRAS COMMUNITY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GINGRAS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "802-479-9647",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "VT",
            "license": "0312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W241",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michelle Gifford
• Frank Demond Gilcreast III, PHARMACIST
• Lindsey Anne Gillies, CNM, WHNP-BC, CPM
• Jamie Gokey, BS
• Michaela Gokey, HS
• Martha Gold, LCMHC
• Kelsey Elizabeth Good, DNP
• Nancy Gore, LICSW

• Assisted Living Facility (Behavioral Disturbances) in Barre, VT
• Providers in Barre, VT by specialty
• Assisted Living Facility (Behavioral Disturbances) in Vermont

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.