Brownway Residence

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

0118 Issued in VT

Legal business name

BROWNWAY RESIDENCE

Practice address

328 School St
Enosburg Falls, VT 05450-5500

Phone

(802) 933-2315

Fax

(802) 933-7997

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Tanya S. Gervais

Title

Manager

Phone

(802) 933-2315

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David A Groening, DPM

  • Podiatrist
  • Saint Albans, VT
  • NPI 1962400267
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659406148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 SCHOOL ST",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054505500",
            "telephone_number": "802-933-2315",
            "fax_number": "802-933-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 SCHOOL ST",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054505500",
            "telephone_number": "802-933-2315",
            "fax_number": "802-933-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNWAY RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERVAIS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "802-933-2315"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "VT",
            "license": "0118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W052",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W106",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodie L Archambault, RN
• Lorne Marshall Newton Babb, M.D.
• Ashley E Chamberlin
• Diana Chan, PHARMD
• Cold Hollow Family Practice
• Cold Hollow Family Practice, PC
• Samantha O'Sullivan Cooney

• Custodial Care Facility in Enosburg Falls, VT
• Providers in Enosburg Falls, VT by specialty
• Custodial Care Facility in Vermont

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.