NPIMap

Organization Active NPI

Life Intervention Team

  • In Home Supportive Care Agency
  • Rutland, VT
National Provider Identifier
1891495263
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIFE INTERVENTION TEAM
Practice address
257 S Main St
Rutland, VT 05701-4905
Phone
(802) 342-1062
Fax
(802) 419-9351
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Nicole EdwardsNPI 1063129583
Title
Employee
Phone
(802) 342-1062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X
In Home Supportive Care Agency 253Z00000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

257 S Main St
Rutland, VT 05701-4905

Mailing address

257 S Main St
Rutland, VT 05701-4905
Phone (802) 342-1062

National Provider Directory

National Provider Directory

Locations

257 S Main St
Rutland, VT 05701
Phone (802) 342-1062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1891495263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 S MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014905",
            "telephone_number": "802-342-1062",
            "fax_number": "802-419-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014905",
            "telephone_number": "802-342-1062",
            "fax_number": "802-419-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE INTERVENTION TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "802-342-1062"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.