Granite City Housing, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GRANITE CITY HOUSING, INC.

Practice address

120 Hill St
Barre, VT 05641-3915

Phone

(802) 476-3283

NPI assigned

Jun 15, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Harriet Davis

Title

Executive Director

Phone

(802) 476-3283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lincoln Street Doing business as

Tax ID family

Granite City Housing Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Granite City Housing, Inc.

  • Adult Care Home Facility
  • Barre, VT
  • NPI 1437247228
  NPD tax ID

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1356578611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HILL ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056413915",
            "telephone_number": "802-476-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HILL ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056413915",
            "telephone_number": "802-476-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE CITY HOUSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-476-3283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W282",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaela Gokey, HS
• Martha Gold, LCMHC
• Kelsey Elizabeth Good, DNP
• Nancy Gore, LICSW
• Jaime M. Grandfield
• Granite City Housing, Inc.
• Micah Grant, APRN
• Tina M. Grant
• Green Mountain Nutrition Associates
• Gordon Daniel Green, BA

• Adult Care Home Facility in Barre, VT
• Providers in Barre, VT by specialty
• Adult Care Home Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.