Active NPI
46 Nichols St Operations LLC
- Skilled Nursing Facility
- Rutland, VT
National Provider Identifier
1174774657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 123
- Legal business name
- 46 NICHOLS ST OPERATIONS LLC
- Practice address
- 46 Nichols St
Rutland, VT 05701-3275 - Phone
- (802) 775-2941
- NPI assigned
- Oct 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael T Berg
- Title
- Secretary
- Phone
- (505) 468-4742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 123 | VT | Primary |
Addresses
Primary practice location
46 Nichols St
Rutland, VT 05701-3275
Mailing address
46 Nichols St
Rutland, VT 05701-3275
Phone (802) 775-2941
Other names 1
- Rutland Healthcare & Rehabilitation Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Rutland, VT
- NPI 1174519698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1174774657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 NICHOLS ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057013275",
"telephone_number": "802-775-2941",
"fax_number": "610-612-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 NICHOLS ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057013275",
"telephone_number": "802-775-2941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "46 NICHOLS ST OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-02",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "505-468-4742"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "VT",
"license": "123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rutland Healthcare & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rutland Healthcare & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.