Organization Active NPI

Pillsbury Associates, Inc

Doing business as Pillsbury Manor

  • Adult Care Home Facility
  • South Burlington, VT
National Provider Identifier
1790810786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
0149 Issued in VT
Legal business name
PILLSBURY ASSOCIATES, INC
Doing business as
Pillsbury Manor
Practice address
20 Harbor View Rd
South Burlington, VT 05403-7850
Phone
(802) 863-7897
Fax
(802) 863-9728
NPI assigned
Feb 22, 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
Mr. William G. Spalding
Title
Director
Phone
(802) 863-7897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 0149 VT Primary

Addresses

Primary practice location

20 Harbor View Rd
South Burlington, VT 05403-7850

Mailing address

20 Harbor View Rd
South Burlington, VT 05403-7850
Phone (802) 863-7897

Other identifiers 6

IdentifierTypeStateIssuer
047W250MedicaidVT
047W260MedicaidVT
047W254MedicaidVT
047W146MedicaidVT
047W046MedicaidVT
047W259MedicaidVT

Other names 1

  • Pillsbury Manor Doing business as

National Provider Directory

National Provider Directory

Locations

20 Harbor View Rd
South Burlington, VT 05403
Phone (802) 863-7897

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790810786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HARBOR VIEW RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037850",
            "telephone_number": "802-863-7897",
            "fax_number": "802-863-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HARBOR VIEW RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037850",
            "telephone_number": "802-863-7897",
            "fax_number": "802-863-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLSBURY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPALDING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "802-863-7897",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VT",
            "license": "0149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W250",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W260",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W254",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W146",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W046",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W259",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pillsbury Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Burlington, 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.