The Manes House Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

0193 Issued in VT

Legal business name

THE MANES HOUSE INC.

Practice address

127 Union St
Bennington, VT 05201-2406

Phone

(802) 442-8900

Fax

(802) 442-3438

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holly Baker

Title

President

Phone

(802) 442-8900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770614034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 UNION ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012406",
            "telephone_number": "802-442-8900",
            "fax_number": "802-442-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 UNION ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012406",
            "telephone_number": "802-442-8900",
            "fax_number": "802-442-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANES HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-442-8900"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VT",
            "license": "0193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W165",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W076",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Sweeney, M.A.
• Patrick J Tangney, MD
• Chelsea Marie Tarsa, OTR/L
• Ileana Tecchio, ND LAC
• Alexander Athan Tenentes, OD
• The Weston Group Inc (The Weston Health Care Group Inc)
• Angela Theiss, MD
• Hope Therrien
• Jill Thomayer
• Georgia Thompson

• Health Maintenance Organization in Bennington, VT
• Providers in Bennington, VT by specialty
• Health Maintenance Organization 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.