Organization Active NPI

Terrace Communities Norwich, LLC

  • Assisted Living Facility
  • White River Junction, VT
National Provider Identifier
1386856979
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1004 Issued in VT
Legal business name
TERRACE COMMUNITIES NORWICH, LLC
Doing business as
Valley Terrace
Practice address
2820 Christian St
White River Junction, VT 05001-9822
Phone
(802) 280-1910
NPI assigned
May 4, 2007
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
Beverly Marshall
Title
Executive Director
Phone
(603) 304-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1004 VT Primary

Addresses

Primary practice location

2820 Christian St
White River Junction, VT 05001-9822

Mailing address

2820 Christian St
White River Junction, VT 05001-9822
Phone (802) 280-1910

Other identifiers 1

IdentifierTypeStateIssuer
1004OtherVTSTATE LICENSE

Other names 1

  • Valley Terrace Doing business as

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
47D2204073Valley Terrace Assisted Living2820 Christian St, White River Junction, VT 05001Certificate of waiverDec 7, 2026

National Provider Directory

National Provider Directory

Locations

2820 Christian St
White River Junction, VT 05001
Phone (802) 230-1910

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386856979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 CHRISTIAN ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050019822",
            "telephone_number": "802-280-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 CHRISTIAN ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050019822",
            "telephone_number": "802-280-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE COMMUNITIES NORWICH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-304-6611"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VT",
            "license": "1004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1004",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.