Organization Active NPI

Addison Group, Inc.

Doing business as Addison House

  • Adult Care Home Facility
  • Middlebury, VT
National Provider Identifier
1821141979
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
0033 Issued in VT
Legal business name
ADDISON GROUP, INC.
Doing business as
Addison House
Practice address
152 College St
Middlebury, VT 05753-1052
Phone
(802) 388-4269
NPI assigned
Jan 20, 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
Marcia S Wheeler
Title
President
Phone
(802) 388-4269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 0033 VT Primary

Addresses

Primary practice location

152 College St
Middlebury, VT 05753-1052

Mailing address

152 College St
Middlebury, VT 05753-1052
Phone (802) 388-4269

Other identifiers 2

IdentifierTypeStateIssuer
047W039MedicaidVT
047W142MedicaidVT

Other names 1

  • Addison House Doing business as

National Provider Directory

National Provider Directory

Locations

152 College St
Middlebury, VT 05753
Phone (802) 388-4269

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821141979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 COLLEGE ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531052",
            "telephone_number": "802-388-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 COLLEGE ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531052",
            "telephone_number": "802-388-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-388-4269"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VT",
            "license": "0033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W039",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W142",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addison House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middlebury, 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.