Organization Active NPI

Green Mountain Adult Day Services, LLC

Doing business as Adult Day Services of Orleans County

  • Adult Day Care Clinic/Center
  • Newport, VT
National Provider Identifier
1508080334
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
NA Issued in VT
Legal business name
GREEN MOUNTAIN ADULT DAY SERVICES, LLC
Doing business as
Adult Day Services of Orleans County
Practice address
148 Prouty Dr
Newport, VT 05855-9513
Phone
(802) 334-3188
Fax
(802) 334-3188
NPI assigned
Apr 12, 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
Mr. David L Silver
Title
Manager
Phone
(802) 334-7321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NA VT Primary

Addresses

Primary practice location

148 Prouty Dr
Newport, VT 05855-9513

Mailing address

148 Prouty Dr
Newport, VT 05855-9513
Phone (802) 334-3188

Other identifiers 2

IdentifierTypeStateIssuer
047W134MedicaidVT
047W063MedicaidVT

Other names 1

  • Adult Day Services of Orleans County Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508080334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 PROUTY DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559513",
            "telephone_number": "802-334-3188",
            "fax_number": "802-334-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 PROUTY DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559513",
            "telephone_number": "802-334-3188",
            "fax_number": "802-334-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN ADULT DAY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "802-334-7321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "VT",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W134",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W063",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Day Services of Orleans County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, 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.