Organization Active NPI

Specialized Community Care, Inc

  • Community/Behavioral Health Agency
  • Middlebury, VT
National Provider Identifier
1275651267
Registry record updated Sep 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPECIALIZED COMMUNITY CARE, INC
Practice address
3627 Route 7 S
Middlebury, VT 05753-9130
Phone
(802) 388-6388
Fax
(802) 388-6704
NPI assigned
Mar 27, 2007
Last updated
Sep 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2017

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

Authorized official

Name
Scott Hill
Title
Office Manager
Phone
(802) 388-6388

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Day Training/Habilitation Specialist 373H00000X VT
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3627 Route 7 S
Middlebury, VT 05753-9130

Mailing address

PO Box 578
East Middlebury, VT 05740-0578

Other identifiers 1

IdentifierTypeStateIssuer
6040027MedicaidVT

National Provider Directory

National Provider Directory

Locations

3627 Route 7 S
Middlebury, VT 05753
Phone (802) 388-6388

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1275651267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "EAST MIDDLEBURY",
            "state": "VT",
            "postal_code": "057400578",
            "fax_number": "802-388-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 ROUTE 7 S",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057539130",
            "telephone_number": "802-388-6388",
            "fax_number": "802-388-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED COMMUNITY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-388-6388"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "VT",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6040027",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.