Organization Active NPI

Bennington Project Independence Inc

  • Adult Day Care Clinic/Center
  • Bennington, VT
National Provider Identifier
1841358488
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BENNINGTON PROJECT INDEPENDENCE INC
Practice address
614 Harwood Hill Rd
Bennington, VT 05201-9006
Phone
(802) 442-8136
Fax
(802) 447-8291
NPI assigned
Dec 5, 2006
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Linda S Wichlac
Title
Executive Director
Phone
(802) 442-8136

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

614 Harwood Hill Rd
Bennington, VT 05201-9006

Mailing address

PO Box 1504
Bennington, VT 05201-1504
Phone (802) 442-8136

Other identifiers 1

IdentifierTypeStateIssuer
047W030MedicaidVT

National Provider Directory

National Provider Directory
Tax ID family
Bennington Project Independence Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

124 Pleasant St
Bennington, VT 05201

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1841358488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1504",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011504",
            "telephone_number": "802-442-8136",
            "fax_number": "802-447-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 HARWOOD HILL RD",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052019006",
            "telephone_number": "802-442-8136",
            "fax_number": "802-447-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNINGTON PROJECT INDEPENDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "WICHLAC",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-442-8136"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W030",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 20, 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.