Organization Active NPI

MH Homestead Operating, LLC

Doing business as Homestead Senior Living

  • Assisted Living Facility
  • Saint Albans, VT
National Provider Identifier
1891320214
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MH HOMESTEAD OPERATING, LLC
Doing business as
Homestead Senior Living
Practice address
64 Harbor View Dr
Saint Albans, VT 05478-4492
Phone
(802) 752-2102
NPI assigned
Mar 5, 2020
Last updated
Mar 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Mr. Henry J Vaughn
Title
Reimbursement Analyst
Phone
(240) 595-6025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

64 Harbor View Dr
Saint Albans, VT 05478-4492

Mailing address

64 Harbor View Dr
Saint Albans, VT 05478-4492
Phone (802) 752-2102

Other names 1

  • Homestead Senior Living Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fboreham@meridiansenior.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1891320214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 HARBOR VIEW DR",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054784492",
            "telephone_number": "802-752-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 HARBOR VIEW DR",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054784492",
            "telephone_number": "802-752-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH HOMESTEAD OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "240-595-6025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fboreham@meridiansenior.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 Harbor View Dr",
            "city": "Saint Albans",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054784492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Homestead Senior Living",
            "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 Mar 5, 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.