Active NPI
Four C's Inc.
Doing business as Holiday House
- Custodial Care Facility
- Saint Albans, VT
National Provider Identifier
1871634352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 0541
- Legal business name
- FOUR C'S INC.
- Doing business as
- Holiday House
- Practice address
- 642 Sheldon Rd
Saint Albans, VT 05478-8014 - Phone
- (802) 524-2996
- Fax
- (802) 524-7634
- NPI assigned
- Feb 9, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Coleen Kara Condon, NHA
- Title
- Administrator
- Phone
- (802) 524-2996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 0541 | VT | Primary |
Addresses
Primary practice location
642 Sheldon Rd
Saint Albans, VT 05478-8014
Mailing address
642 Sheldon Rd
Saint Albans, VT 05478-8014
Phone (802) 524-2996
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047W245 | Medicaid | VT | |
| 047W246 | Medicaid | VT | |
| 047R036 | Medicaid | VT |
Other names 1
- Holiday House
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871634352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 SHELDON RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054788014",
"telephone_number": "802-524-2996",
"fax_number": "802-524-7634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 SHELDON RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054788014",
"telephone_number": "802-524-2996",
"fax_number": "802-524-7634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR C'S INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CONDON",
"authorized_official_first_name": "COLEEN",
"authorized_official_middle_name": "KARA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "802-524-2996",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "VT",
"license": "0541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047W245",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047W246",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047R036",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Holiday House",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saint Albans, 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.