NPIMap

Organization Active NPI

The Manor Inc

  • Nursing Facility/Intermediate Care Facility
  • Morrisville, VT
National Provider Identifier
1366522005
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0270000273 Issued in VT
Legal business name
THE MANOR INC
Practice address
577 Washington Highway
Morrisville, VT 05661
Phone
(802) 888-8700
Fax
(802) 888-8782
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Mrs. Lynnette A Smith
Title
Administrator
Phone
(802) 888-8752

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 0378 VT
Nursing Facility/Intermediate Care Facility 313M00000X 0270000273 VT Primary

Addresses

Primary practice location

577 Washington Highway
Morrisville, VT 05661

Mailing address

577 Washington Highway
Morrisville, VT 05661
Phone (802) 888-8700

Other identifiers 2

IdentifierTypeStateIssuer
0475057MedicaidVT
047W167OtherVTACES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021025000030 VT Part A Provider - Skilled Nursing Facility 4183532690 Practice locations: Morrisville, VT

Skilled nursing facility certification: CCN 475057

Legal name
THE MANOR INC
Doing business as
THE MANOR INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 2000
Last certification
Apr 23, 2025
Beds
72
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 13, 1998 in VT
Enrollment address
577 Washington Hwy
Morrisville, VT 05661-8972
Nursing home name
THE MANOR, INC.

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Manor, Inc.CCN 475057
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 1, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7266.7 residents per day on average
Penalties (3 years)
2Fines totaling $140,856

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D0660979Manor, the577 Washington Hwy, Morrisville, VT 05661Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lynnette Smith Individual 5% Or Greater Indirect Ownership InterestExecutive Director Mar 6, 2006
Operational/Managerial Control Mar 6, 2006
Adp of the SNF Mar 6, 2006
Direct Ownership Interest Mar 6, 2006
Tusa C Van Vogelpoel Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Dave Yacovone Individual Trustee of the SNF Jan 1, 2011
Angela French Norder Individual Trustee of the SNF Jan 1, 2008
The Manor Inc Organization, Morrisville, VT Corporation 5% Or Greater Direct Ownership Interest Apr 15, 1999 100%
Adp of the SNF Apr 15, 1999
Lisa Nolen Birmingham Individual Trustee of the SNF Jan 11, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 7

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1366522005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 WASHINGTON HIGHWAY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "05661",
            "telephone_number": "802-888-8700",
            "fax_number": "802-888-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 WASHINGTON HIGHWAY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "05661",
            "telephone_number": "802-888-8700",
            "fax_number": "802-888-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "802-888-8752",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "VT",
            "license": "0378",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VT",
            "license": "0270000273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475057",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACES",
            "identifier": "047W167",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.