Organization Active NPI

Mount Anthony Housing Corporation

Doing business as Centers for Living and Rehabilitation

  • Skilled Nursing Facility
  • Bennington, VT
National Provider Identifier
1780767483
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MOUNT ANTHONY HOUSING CORPORATION
Doing business as
Centers for Living and Rehabilitation
Practice address
160 Hospital Dr
Bennington, VT 05201-2279
Phone
(802) 447-1547
Fax
(802) 447-4026
NPI assigned
Oct 24, 2006
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. Susan M Kane
Title
Administrator
Phone
(802) 447-5461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

160 Hospital Dr
Bennington, VT 05201-2279

Mailing address

160 Hospital Dr
Bennington, VT 05201-2279
Phone (802) 447-1547

Other identifiers 2

IdentifierTypeStateIssuer
00969324MedicaidNY
0475029MedicaidVT

Other names 1

  • CENTERS FOR LIVING AND REHABILITATION Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D0711951Centers for Living and Rehabilitation160 Hospital Dr, Bennington, VT 05201Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780767483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HOSPITAL DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012279",
            "telephone_number": "802-447-1547",
            "fax_number": "802-447-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HOSPITAL DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012279",
            "telephone_number": "802-447-1547",
            "fax_number": "802-447-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ANTHONY HOUSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "802-447-5461",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00969324",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475029",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERS FOR LIVING AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bennington, 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.
  • 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.