Organization Active NPI

Johnsons Care Home

  • Adult Care Home Facility
  • Hancock, VT
National Provider Identifier
1407911431
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
0170 Issued in VT
Legal business name
JOHNSONS CARE HOME
Practice address
919 VT Rte 100
Hancock, VT 05748
Phone
(802) 767-4404
NPI assigned
Dec 27, 2006
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
Ms. Mary M Johnson
Title
Owner Manager
Phone
(802) 767-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 0170 VT Primary

Addresses

Primary practice location

919 VT Rte 100
Hancock, VT 05748

Mailing address

PO Box 190
Hancock, VT 05748
Phone (802) 767-4404

National Provider Directory

National Provider Directory

Locations

919 Vt Route 100
Hancock, VT 05748
Phone (802) 767-4404

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407911431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "HANCOCK",
            "state": "VT",
            "postal_code": "05748",
            "telephone_number": "802-767-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 VT RTE 100",
            "city": "HANCOCK",
            "state": "VT",
            "postal_code": "05748",
            "telephone_number": "802-767-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSONS CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "802-767-4404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VT",
            "license": "0170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hancock, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.