NPIMap

Organization Active NPI

Loretto-Kervick Homes

  • Adult Care Home Facility
  • Rutland, VT
National Provider Identifier
1477664530
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
0138 Issued in VT
Legal business name
LORETTO-KERVICK HOMES
Practice address
59 Meadow St
Rutland, VT 05701-3965
Phone
(802) 773-8840
Fax
(802) 773-9638
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mrs. Denise M Payea
Title
Business Manager
Phone
(802) 658-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 0138 VT Primary

Addresses

Primary practice location

59 Meadow St
Rutland, VT 05701-3965

Mailing address

351 North Ave
Burlington, VT 05401-2921
Phone (802) 658-6110

Other identifiers 2

IdentifierTypeStateIssuer
047W035MedicaidVT
047W114MedicaidVT

Other names 1

  • Vermont Catholic Charities, Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Loretto-Kervick Homes2 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.

Locations

59 Meadow St
Rutland, VT 05701
Phone (802) 773-8840

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1477664530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NORTH AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054012921",
            "telephone_number": "802-658-6110",
            "fax_number": "802-860-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MEADOW ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013965",
            "telephone_number": "802-773-8840",
            "fax_number": "802-773-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTO-KERVICK HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "PAYEA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "802-658-6111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VT",
            "license": "0138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W035",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W114",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermont Catholic Charities, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.