CSR Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0270000270 Issued in VT

Legal business name

CSR CORP

Practice address

312 Crescent Blvd
Bennington, VT 05201

Phone

(802) 447-1501

Fax

(802) 442-7127

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Claudette Werner Poorman

Title

Administrator

Phone

(802) 447-1501

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Crescent Manor Care Ctr Doing business as

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730155409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CRESCENT BLVD",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "05201",
            "telephone_number": "802-447-1501",
            "fax_number": "802-442-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CRESCENT BLVD",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "05201",
            "telephone_number": "802-447-1501",
            "fax_number": "802-442-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WERNER POORMAN",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "802-447-1501"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": "0270000270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01014828",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475033",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Manor Care Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Landree M Corcoran
• Martha Madhu Cornwell, PA-C
• Counseling With Denise, PLLC
• Parker Elizabeth Crandall, OTRL
• Tracie Ann Crawford, FNP
• Kingsley Clay Czermerys
• Emily D'Amario, PA
• Sarah Perkins Dahl, MD
• Marc Daquila, DC
• Nicholas Darcangelo, D.C.

• Skilled Nursing Facility in Bennington, VT
• Providers in Bennington, VT by specialty
• Skilled Nursing 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.