Ida'S House of Vermont Professional Limited Liability Company

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

IDA'S HOUSE OF VERMONT PROFESSIONAL LIMITED LIABILITY COMPANY

Practice address

360 New Rd
Brandon, VT 05733-8396

Phone

(802) 247-0381

Fax

(888) 502-6598

NPI assigned

May 2, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Tiney Ray, PHD, DNP, FNP,PMHNPNPI 1154331346

Title

Owner

Phone

(678) 701-4679

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tiney Elizabeth Ray, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, ME
  • NPI 1154331346
  NPD Authorized official

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

{
    "created_epoch": "1777680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777680000000",
    "number": "1386581775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 NEW RD",
            "city": "BRANDON",
            "state": "VT",
            "postal_code": "057338396",
            "telephone_number": "802-247-0381",
            "fax_number": "888-502-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 NEW RD",
            "city": "BRANDON",
            "state": "VT",
            "postal_code": "057338396",
            "telephone_number": "802-247-0381",
            "fax_number": "888-502-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDA'S HOUSE OF VERMONT PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-02",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "TINEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-701-4679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, DNP, FNP,PMHNP"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Graham, OTR
• Green Mountain Psychology PLLC
• Parker Hack, DC
• John Humphreys, L.M.T.
• Nykia Hunter
• Mallory Anne Ketcham, PHARMD
• Amy Kittredge, MS, LCMHC, LADC
• Kim Kurak, DO
• Andrew Joseph Lafleur
• Benjamin Franklin Lawton, D.M.D.

• Adult Care Home Facility in Brandon, VT
• Providers in Brandon, 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 May 2, 2026; 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.