NPIMap

Organization Active NPI

Mayo Healthcare

  • Adult Care Home Facility
  • Northfield, VT
National Provider Identifier
1801929187
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
0199 Issued in VT
Legal business name
MAYO HEALTHCARE
Practice address
610 Water St
Northfield, VT 05663-5640
Phone
(802) 485-3161
Fax
(802) 485-6307
NPI assigned
Mar 14, 2007
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Ms. Lois A Lusignan
Title
Business Manager
Phone
(802) 485-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 0199 VT Primary

Addresses

Primary practice location

610 Water St
Northfield, VT 05663-5640

Mailing address

71 Richardson St
Northfield, VT 05663-5644
Phone (802) 485-3161

Other identifiers 1

IdentifierTypeStateIssuer
047W120MedicaidVT

Other names 1

  • Mayo Manor ACCS Other name

National Provider Directory

National Provider Directory
Tax ID family
Mayo Healthcare Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1801929187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 RICHARDSON ST",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056635644",
            "telephone_number": "802-485-3161",
            "fax_number": "802-485-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WATER ST",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056635640",
            "telephone_number": "802-485-3161",
            "fax_number": "802-485-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "LUSIGNAN",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "802-485-3161",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VT",
            "license": "0199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W120",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayo Manor ACCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.