Northeast Kingdom Human Services Inc PC
Organization Active NPI Developmentally Disabled Services Day Training Agency · Newport, VT
NPI 1487787149 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1487787149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- NORTHEAST KINGDOM HUMAN SERVICES INC PC
- Practice address
- 154 Duchess St
Newport, VT 05855-0724 - Phone
- (802) 334-6744
- Fax
- (802) 334-7340
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Eric Grims
- Title
- Chief Executive Officer
- Phone
- (802) 334-6744
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Northeast Kingdom Human Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
154 Duchess St
Newport, VT 05855-0724
Mailing address
PO Box 724
Newport, VT 05855-0724
Phone (802) 334-6744
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006378 | Medicaid | VT |
Other providers in Newport, VT
- Northeast Kingdom Human Services Inc DS Waiver
- Northeast Kingdom Human Services Inc HBKF
- Northeast Kingdom Human Services Inc MH Adult
- Northeast Kingdom Human Services Inc MH Children
- Northeast Kingdom Human Services Inc MH Waiver
- Northeast Kingdom Human Services Inc Sa
- Northeast Kingdom Human Services Inc SBS
- Northeast Kingdom Human Services Inc Vhap
- Northeast Kingdom Physical Therapy PC
- Northeast Vision Center, PC
All providers in Newport, VT · Developmentally Disabled Services Day Training Agency in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.