Organization Active NPI

The Villa Rehab Center

  • Skilled Nursing Facility
  • Saint Albans, VT
National Provider Identifier
1235680133
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE VILLA REHAB CENTER
Practice address
7 Forest Hill Dr
Saint Albans, VT 05478-1615
Phone
(802) 524-3498
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Mrs. Coleen Condon, NHA
Title
Owner
Phone
(802) 524-3498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7 Forest Hill Dr
Saint Albans, VT 05478-1615

Mailing address

7 Forest Hill Dr
Saint Albans, VT 05478-1615
Phone (802) 524-3498

Other identifiers 1

IdentifierTypeStateIssuer
1026009MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151201000332 VT Part A Provider - Skilled Nursing Facility 5799085577 1 other NPI on this enrollment
Practice locations: Saint Albans, VT

Skilled nursing facility certification: CCN 475055A

Legal name
THE VILLA REHAB CENTER
Organization structure
LLCProprietary
Enrollment address
7 Forest Hill Dr
Saint Albans, VT 05478-1615
Nursing home name
THE VILLA REHAB

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jonathan Strenio Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Coleen Condon Individual 5% Or Greater Direct Ownership InterestOwner Mar 11, 2022 100%
Theoria Medical Organization, Chicago, IL Medical provider/supplier Operational/Managerial Control Apr 1, 2025
Adp of the SNF Jun 30, 2025
Deana M Mattison Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Jun 30, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1235680133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FOREST HILL DR",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781615",
            "telephone_number": "802-524-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FOREST HILL DR",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781615",
            "telephone_number": "802-524-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLA REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-524-3498",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026009",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.