Eagle Eye Farm Rehabilitation Center

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

0513 Issued in VT

Legal business name

EAGLE EYE FARM REHABILITATION CENTER

Practice address

3014 Abbott Hill Road
Newark, VT 05871

Phone

(802) 525-6939

NPI assigned

Dec 13, 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

Ms. Sarah Jane R Alexander

Title

Operations Manager

Phone

(802) 525-6939

Specialties & licenses 1

Addresses

Tax ID family

Eagle Eye Farm Rehabilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eagle Eye Farm Rehabilitation Center

  • Mental Illness Community Based Residential Treatment Facility
  • Newark, VT
  • NPI 1356434831
  NPD tax ID

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225199136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "WEST BURKE",
            "state": "VT",
            "postal_code": "058710247",
            "telephone_number": "802-525-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 ABBOTT HILL ROAD",
            "city": "NEWARK",
            "state": "VT",
            "postal_code": "05871",
            "telephone_number": "802-525-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE FARM REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "SARAH JANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "802-525-6939",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "VT",
            "license": "0513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Eye Farm Rehabilitation Center

• Physical Disabilities Residential Treatment Facility in Newark, VT
• Providers in Newark, VT by specialty
• Physical Disabilities Residential Treatment 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.