Windover House Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

0109 Issued in VT

Legal business name

WINDOVER HOUSE INC

Practice address

451 VT Route 66
Randolph, VT 05060-9387

Phone

(802) 728-3802

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Donald L Jacobs

Title

President

Phone

(802) 728-3802

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154446367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 VT ROUTE 66",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050609387",
            "telephone_number": "802-728-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 VT ROUTE 66",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050609387",
            "telephone_number": "802-728-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDOVER HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-728-3802"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VT",
            "license": "0109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCS PROVIDER#",
            "identifier": "047W101",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ERC  PROVIDER #",
            "identifier": "047W047",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin White, PHARMD
• Alisha Wiktorski, BA
• Melanie Anne Williams, PSY-MA, LCMHC
• Christopher McLean Wilson, DDS
• Daniel Windholz
• Rebecca Chloe Winokur, MD
• Lucy J. Wollaeger, M.D.
• Jessica K Wright, LCMHC
• John David Wrong, BA
• Richard Toyoo Yoshikawa, D.D.S.

• Adult Care Home Facility in Randolph, VT
• Providers in Randolph, VT by specialty
• Adult Care Home Facility 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.