NPIMap

Organization Active NPI

Misty Heather Morn Community Care Home

  • Custodial Care Facility
  • Hydeville, VT
National Provider Identifier
1629285697
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
0174 Issued in VT
Legal business name
MISTY HEATHER MORN COMMUNITY CARE HOME
Practice address
174 Blissville Rd
Hydeville, VT 05750-0176
Phone
(802) 265-3300
Fax
(802) 265-3300
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Francetta Irene Tice, R.N.
Title
Owner
Phone
(802) 265-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 0174 VT Primary

Addresses

Primary practice location

174 Blissville Rd
Hydeville, VT 05750-0176

Mailing address

PO Box 176
Hydeville, VT 05750-0176
Phone (802) 265-3300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629285697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "HYDEVILLE",
            "state": "VT",
            "postal_code": "057500176",
            "telephone_number": "802-265-3300",
            "fax_number": "802-265-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BLISSVILLE RD",
            "city": "HYDEVILLE",
            "state": "VT",
            "postal_code": "057500176",
            "telephone_number": "802-265-3300",
            "fax_number": "802-265-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY HEATHER MORN COMMUNITY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TICE",
        "authorized_official_first_name": "FRANCETTA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-265-3300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "VT",
            "license": "0174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hydeville, 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.