2 Blackberry Lane Operations LLC
Organization Active NPI Skilled Nursing Facility · Bennington, VT
NPI 1831574052 · NPPES record last updated Aug 11, 2016
Key facts
- NPI
- 1831574052
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 00000 (VT)
- Legal business name
- 2 BLACKBERRY LANE OPERATIONS LLC
- Practice address
- 2 Blackberry LN
Bennington, VT 05201-2300 - Phone
- (802) 442-8525
- Fax
- (802) 442-8526
- NPI assigned
- Jul 29, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- SUMMIT CARE LLC
Authorized official
- Name
- Michael T Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4742
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 00000 | VT | Yes |
Addresses
Primary practice location
2 Blackberry LN
Bennington, VT 05201-2300
Mailing address
2 Blackberry LN
Bennington, VT 05201-2300
Phone (802) 442-8525
Other names
- Bennington Health and Rehabilitation Center
Other providers in Bennington, VT
- Lauren Adams
- Adaptive Prosthetics & Orthotics LLC
- Katharine Thomas Addleson
- Advanced Eyecare PC
- Katie Ellen Aiken
All providers in Bennington, VT · Skilled Nursing Facility in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.