Active NPI
Eagle Eye Farm Rehabilitation Center
- Mental Illness Community Based Residential Treatment Facility
- Newark, VT
National Provider Identifier
1356434831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- EAGLE EYE FARM REHABILITATION CENTER
- Practice address
- 3014 Abbott Hill Road
Newark, VT 05871 - Phone
- (802) 723-9800
- Fax
- (802) 723-9800
- NPI assigned
- Oct 2, 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
- Ms. Sarah Jane Rohan Alexander
- Title
- Operations Manager
- Phone
- (802) 723-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | VT | Primary |
Addresses
Primary practice location
3014 Abbott Hill Road
Newark, VT 05871
Mailing address
PO Box 247
West Burke, VT 05871
Phone (802) 723-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004774 | Medicaid | VT | |
| 1012106 | Medicaid | VT |
National Provider Directory
National Provider Directory- Tax ID family
- Eagle Eye Farm Rehabilitation Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Disabilities Residential Treatment Facility
- Newark, VT
- NPI 1225199136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1356434831",
"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": "05871",
"telephone_number": "802-723-9800",
"fax_number": "802-723-9800"
},
{
"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": "802-723-9800",
"fax_number": "802-723-9800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE EYE FARM REHABILITATION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "SARAH JANE",
"authorized_official_middle_name": "ROHAN",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "802-723-9800",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1004774",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012106",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.