Organization Active NPI

Deborah I Hodge

  • Home Health Aide
  • Fairlee, VT
National Provider Identifier
1891918918
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
0195 Issued in VT
Legal business name
DEBORAH I HODGE
Doing business as
Valley View Home for the Retired
Practice address
69 Oak Lane
Fairlee, VT 05045
Phone
(802) 333-4829
Fax
(802) 333-7091
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Deborah I. Hodge
Title
Owner
Phone
(802) 333-4829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X 0195 VT Primary

Addresses

Primary practice location

69 Oak Lane
Fairlee, VT 05045

Mailing address

69 Oak Lane
Fairlee, VT 05045
Phone (802) 333-4829

Other identifiers 2

IdentifierTypeStateIssuer
047W073MedicaidVT
047W087MedicaidVT

Other names 1

  • Valley View Home for the Retired Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1891918918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 OAK LANE",
            "city": "FAIRLEE",
            "state": "VT",
            "postal_code": "05045",
            "telephone_number": "802-333-4829",
            "fax_number": "802-333-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 OAK LANE",
            "city": "FAIRLEE",
            "state": "VT",
            "postal_code": "05045",
            "telephone_number": "802-333-4829",
            "fax_number": "802-333-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH I HODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-333-4829"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "VT",
            "license": "0195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W073",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W087",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley View Home for the Retired",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairlee, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.