Organization Active NPI

Addison County Home Health& Hospice, Inc.

  • Physical Therapist
  • New Haven, VT
National Provider Identifier
1609648146
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADDISON COUNTY HOME HEALTH& HOSPICE, INC.
Practice address
254 Ethan Allen Hwy
New Haven, VT 05472
Phone
(802) 388-7259
Fax
(802) 388-6126
NPI assigned
Oct 27, 2023
Organization subpart
Yes
Parent organization
ADDISON COUNTY HOME HEALTH & HOSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Deborah Wesley, RN
Title
Ceo
Phone
(802) 388-7259

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

254 Ethan Allen Hwy
New Haven, VT 05472

Mailing address

P.O. Box 754
Ethan Allen Hwy, VT 05472
Phone (802) 388-7259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415000297 VT Part B Supplier - Clinic/Group Practice 4587983374 Receives reassigned benefits from 4 practitioners
Practice locations: New Haven, VT; Vergennes, VT

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Addison County Home Health Hospice Inc9 organizations share this tax ID, including this one
Part of
Addison County Home Health Hospice Inc

Other organizations with this tax ID 8

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

Locations

75 Meigs Rd
Vergennes, VT 05491
Phone (802) 877-6991

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": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1609648146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 754",
            "city": "ETHAN ALLEN HWY",
            "state": "VT",
            "postal_code": "05472",
            "telephone_number": "802-388-7259",
            "fax_number": "802-388-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 ETHAN ALLEN HWY",
            "city": "NEW HAVEN",
            "state": "VT",
            "postal_code": "05472",
            "telephone_number": "802-388-7259",
            "fax_number": "802-388-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON COUNTY HOME HEALTH& HOSPICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDISON COUNTY HOME HEALTH & HOS",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "WESLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-388-7259",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.