Active NPI
Wake Robin Corporation
- Skilled Nursing Facility
- Shelburne, VT
National Provider Identifier
1316901770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WAKE ROBIN CORPORATION
- Practice address
- 200 Wake Robin Dr
Shelburne, VT 05482-7569 - Phone
- (802) 264-5100
- Fax
- (802) 985-8452
- NPI assigned
- Apr 13, 2006
- 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
- Mrs. Linda Phypers
- Title
- Director of Health Services
- Phone
- (802) 264-5150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | VT | Primary |
Addresses
Primary practice location
200 Wake Robin Dr
Shelburne, VT 05482-7569
Mailing address
200 Wake Robin Dr
Shelburne, VT 05482-7569
Phone (802) 264-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040212000559 | VT | Part A Provider - Skilled Nursing Facility | 2466346176 | Practice locations: Shelburne, VT |
Skilled nursing facility certification: CCN 475056
- Legal name
- WAKE ROBIN CORPORATION
- Doing business as
- M&T BANK
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Feb 11, 1998
- Last certification
- Oct 9, 2024
- Beds
- 57 (33 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- May 16, 1984 in VT
- Enrollment address
- 200 Wake Robin Dr
Shelburne, VT 05482-7569 - Nursing home name
- WAKE ROBIN-LINDEN NURSING HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Wake Robin-Linden Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Feb 11, 1998
- Medicare certification status
- Active
- Certified beds
- 33
National Provider Directory
National Provider DirectoryLocations
200 Wake Robin Dr
Shelburne, VT 05482
Phone (802) 264-5139
Ownership & related parties
All disclosed owners & managing parties 50
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Dec 4, 2023 | ||
| Meagan Buckley | Corporate Officer | Feb 12, 2023 | |
| Operational/Managerial Control | Feb 12, 2023 | ||
| Adp of the SNF | Feb 12, 2023 | ||
| Sarah Cocina | Corporate Director | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| Sasha Conroy Maynard | Corporate Director | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Alexis Mittelstadt | Operational/Managerial Control | Aug 15, 2021 | |
| Adp of the SNF | Aug 15, 2021 | ||
| Adp of the SNF | Apr 18, 2025 | ||
| Michael O'Brien | Operational/Managerial Control | Mar 30, 2008 | |
| Adp of the SNF | Mar 30, 2008 | ||
| Adp of the SNF | Sep 23, 2023 | ||
| Adp of the SNF | Apr 18, 2025 | ||
| Barbara Arel | Corporate Director | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| Roger Crouse | Corporate Director | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Andrea Longe | Operational/Managerial Control | Nov 12, 2011 | |
| Adp of the SNF | Nov 12, 2011 | ||
| Adp of the SNF | May 31, 2018 | ||
| Tara Lorenzini | Operational/Managerial Control | May 31, 2024 | |
| Adp of the SNF | May 31, 2024 | ||
| Adp of the SNF | Dec 1, 2025 | ||
| Adp of the SNF | Jun 18, 2025 | ||
| Joan Lenes | Corporate Director | Jun 1, 2018 | |
| Adp of the SNF | Jun 1, 2018 | ||
| William Iliff | Operational/Managerial Control | Nov 6, 2017 | |
| Adp of the SNF | Nov 6, 2017 | ||
| John W Davis | Corporate Director | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Adp of the SNF | Apr 23, 2025 | ||
| Steven Schonberg | Corporate Director | Jun 1, 2020 | |
| Adp of the SNF | Jun 1, 2020 | ||
| Brigette White | Corporate Director | Jun 1, 2021 | |
| Adp of the SNF | Jun 1, 2021 | ||
| Leslie Parker | Operational/Managerial Control | Feb 22, 2016 | |
| Adp of the SNF | Feb 22, 2016 | ||
| Adp of the SNF | Feb 19, 2026 | ||
| Adp of the SNF | Dec 4, 2023 | ||
| Marysue Kelsen | Corporate Officer | Mar 25, 2019 | |
| Operational/Managerial Control | Mar 25, 2019 | ||
| Adp of the SNF | Mar 25, 2019 | ||
| Jennifer Powell | Operational/Managerial Control | Jul 10, 2023 | |
| Adp of the SNF | Jul 10, 2023 | ||
| Adp of the SNF | May 2, 2025 | ||
| Adp of the SNF | Apr 8, 2025 | ||
| Michael Monte | Corporate Director | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Stephen Baad | Operational/Managerial Control | Jul 1, 2024 | |
| Adp of the SNF | Jul 1, 2024 | ||
| Adp of the SNF | Apr 14, 2025 | ||
| Meredith Jones | Corporate Director | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| Teri O'Brien | Operational/Managerial Control | Sep 6, 1994 | |
| Adp of the SNF | Sep 6, 1994 | ||
| Katherine Hays | Operational/Managerial Control | Jan 9, 2017 | |
| Adp of the SNF | Jan 9, 2017 | ||
| Adp of the SNF | Jan 1, 1995 | ||
| Adp of the SNF | Apr 16, 2025 | ||
| Karen Vincent | Adp of the SNF | May 27, 2025 | |
| Christopher Chase | Corporate Director | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| Angela Kiefer | Operational/Managerial Control | Jun 26, 2022 | |
| Adp of the SNF | Jun 26, 2022 | ||
| Alicia Standridge | Operational/Managerial Control | Sep 30, 2024 | |
| Adp of the SNF | Sep 30, 2024 | ||
| James W Madison | Corporate Director | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Adp of the SNF | Apr 23, 2025 | ||
| Tammy Latreille | Operational/Managerial Control | Oct 15, 2011 | |
| Adp of the SNF | Oct 15, 2011 | ||
| Sara Campbell | Operational/Managerial Control | Aug 19, 2018 | |
| Adp of the SNF | Aug 19, 2018 | ||
| Heather K Filonow | Corporate Director | Aug 15, 2022 | |
| Operational/Managerial Control | Mar 12, 2023 | ||
| Adp of the SNF | Mar 12, 2023 | ||
| John W Maitland | Corporate Director | Jun 1, 2019 | |
| Sarah Merritt | Corporate Director | Jul 1, 2025 | |
| Adp of the SNF | Jul 1, 2025 | ||
| Sarah Tischler | Corporate Director | Jun 1, 2021 | |
| Adp of the SNF | Jun 1, 2021 | ||
| Emily Elderton | Operational/Managerial Control | Dec 15, 2024 | |
| Adp of the SNF | Dec 14, 2024 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316901770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WAKE ROBIN DR",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054827569",
"telephone_number": "802-264-5100",
"fax_number": "802-985-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WAKE ROBIN DR",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054827569",
"telephone_number": "802-264-5100",
"fax_number": "802-985-8452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAKE ROBIN CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PHYPERS",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
"authorized_official_telephone_number": "802-264-5150",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelburne, VT
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.