Organization Active NPI

Wake Robin Corporation

  • Skilled Nursing Facility
  • Shelburne, VT
National Provider Identifier
1316901770
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 HomeCCN 475056
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Feb 11, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3327.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Individual Adp of the SNF Dec 4, 2023
Meagan Buckley Individual Corporate OfficerPresident/Ceo Feb 12, 2023
Operational/Managerial Control Feb 12, 2023
Adp of the SNF Feb 12, 2023
Sarah Cocina Individual Corporate Director Jul 1, 2025
Adp of the SNF Jul 1, 2025
Sasha Conroy Maynard Individual Corporate Director Jun 1, 2024
Adp of the SNF Jun 1, 2024
Alexis Mittelstadt Individual Operational/Managerial Control Aug 15, 2021
Adp of the SNF Aug 15, 2021
Organization, Elkhorn, NE Medical staffing company Adp of the SNF Apr 18, 2025
Michael O'Brien Individual Operational/Managerial Control Mar 30, 2008
Adp of the SNF Mar 30, 2008
Individual Adp of the SNF Sep 23, 2023
Organization, Manchester, NH LLC, Medical staffing company Adp of the SNF Apr 18, 2025
Barbara Arel Individual Corporate Director Jul 1, 2025
Adp of the SNF Jul 1, 2025
Roger Crouse Individual Corporate Director Jun 1, 2024
Adp of the SNF Jun 1, 2024
Andrea Longe Individual Operational/Managerial Control Nov 12, 2011
Adp of the SNF Nov 12, 2011
Individual Adp of the SNF May 31, 2018
Tara Lorenzini Individual Operational/Managerial Control May 31, 2024
Adp of the SNF May 31, 2024
Individual Adp of the SNF Dec 1, 2025
Individual Adp of the SNF Jun 18, 2025
Joan Lenes Individual Corporate Director Jun 1, 2018
Adp of the SNF Jun 1, 2018
William Iliff Individual Operational/Managerial Control Nov 6, 2017
Adp of the SNF Nov 6, 2017
John W Davis Individual Corporate Director Jun 1, 2024
Adp of the SNF Jun 1, 2024
Organization, Wilmington, DE Corporation, Financial institution Adp of the SNF Apr 23, 2025
Steven Schonberg Individual Corporate Director Jun 1, 2020
Adp of the SNF Jun 1, 2020
Brigette White Individual Corporate Director Jun 1, 2021
Adp of the SNF Jun 1, 2021
Leslie Parker Individual Operational/Managerial Control Feb 22, 2016
Adp of the SNF Feb 22, 2016
Organization, Woonsocket, RI LLC Adp of the SNF Feb 19, 2026
Individual Adp of the SNF Dec 4, 2023
Marysue Kelsen Individual Corporate OfficerCfo Mar 25, 2019
Operational/Managerial Control Mar 25, 2019
Adp of the SNF Mar 25, 2019
Jennifer Powell Individual Operational/Managerial Control Jul 10, 2023
Adp of the SNF Jul 10, 2023
Organization, Elkhorn, NE LLC Adp of the SNF May 2, 2025
Organization, Minneapolis, MN LLC, For-profit Adp of the SNF Apr 8, 2025
Michael Monte Individual Corporate Director Jun 1, 2024
Adp of the SNF Jun 1, 2024
Stephen Baad Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Organization, Gilford, NH Consulting firm Adp of the SNF Apr 14, 2025
Meredith Jones Individual Corporate Director Jun 1, 2023
Adp of the SNF Jun 1, 2023
Teri O'Brien Individual Operational/Managerial Control Sep 6, 1994
Adp of the SNF Sep 6, 1994
Katherine Hays Individual Operational/Managerial Control Jan 9, 2017
Adp of the SNF Jan 9, 2017
Individual Adp of the SNF Jan 1, 1995
Organization, Atlanta, GA LLC, Consulting firm Adp of the SNF Apr 16, 2025
Karen Vincent Individual Adp of the SNF May 27, 2025
Christopher Chase Individual Corporate Director Jun 1, 2023
Adp of the SNF Jun 1, 2023
Angela Kiefer Individual Operational/Managerial Control Jun 26, 2022
Adp of the SNF Jun 26, 2022
Alicia Standridge Individual Operational/Managerial Control Sep 30, 2024
Adp of the SNF Sep 30, 2024
James W Madison Individual Corporate Director Jun 1, 2024
Adp of the SNF Jun 1, 2024
Organization, Buffalo, NY Financial institution Adp of the SNF Apr 23, 2025
Tammy Latreille Individual Operational/Managerial Control Oct 15, 2011
Adp of the SNF Oct 15, 2011
Sara Campbell Individual Operational/Managerial Control Aug 19, 2018
Adp of the SNF Aug 19, 2018
Heather K Filonow Individual Corporate Director Aug 15, 2022
Operational/Managerial Control Mar 12, 2023
Adp of the SNF Mar 12, 2023
John W Maitland Individual Corporate DirectorBoard Chair Jun 1, 2019
Sarah Merritt Individual Corporate Director Jul 1, 2025
Adp of the SNF Jul 1, 2025
Sarah Tischler Individual Corporate Director Jun 1, 2021
Adp of the SNF Jun 1, 2021
Emily Elderton Individual 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

Verify at the official NPI Registry.