NPIMap

Organization Active NPI

Mayo Healthcare Inc

  • Adult Care Home Facility
  • Northfield, VT
National Provider Identifier
1508997487
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
0199 Issued in VI
Legal business name
MAYO HEALTHCARE INC
Practice address
610 Water St
Northfield, VT 05663-5640
Phone
(802) 485-3161
NPI assigned
Mar 9, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Lois A Lusignan
Title
Business Manager
Phone
(802) 485-3161

National Provider Directory

National Provider Directory
Tax ID family
Mayo Healthcare Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 0199 VI Primary

Addresses

NPPES NPI Registry

Primary practice location

610 Water St
Northfield, VT 05663-5640

Mailing address

71 Richardson St
Northfield, VT 05663-5644
Phone (802) 485-3161

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
047W056MedicaidVT

Other names 1

NPPES NPI Registry
  • MAYO MANOR Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508997487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 RICHARDSON ST",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056635644",
            "telephone_number": "802-485-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WATER ST",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056635640",
            "telephone_number": "802-485-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUSIGNAN",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "802-485-3161",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VI",
            "license": "0199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W056",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAYO MANOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northfield, 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.