Vernon Advent Christian Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VERNON ADVENT CHRISTIAN HOME, INC.

Doing business as

Vernon Green Nursing Home

Practice address

61 Greenway Drive
Vernon, VT 05354-9474

Phone

(802) 254-6041

Fax

(802) 257-5362

NPI assigned

Oct 19, 2005

Last updated

Mar 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. M. Bradford Ellis

Title

Executive Director

Phone

(802) 254-6041

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VERNON GREEN NURSING HOME Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902895287. Details of each certification follow.

• CCN 475008 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 475008

Legal name

VERNON ADVENT CHRISTIAN HOME, INC.

Doing business as

VERNON GREEN NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Oct 30, 2024

Beds

60

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

61 Greenway
Vernon, VT 05354-9474

Nursing home name

VERNON GREEN NURSING HOME

Listed as

Vernon Green Nursing HomeCCN 475008 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6053.3 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

2Fines totaling $87,896

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kari Lynn Dickey, D.O.

  • Family Medicine Physician
  • Putney, VT
  • NPI 1457579500

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kari Lynn Dickey, D.O.

  • Family Medicine Physician
  • Putney, VT
  • NPI 1457579500
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kari Lynn Dickey, D.O.

  • Family Medicine Physician
  • Putney, VT
  • NPI 1457579500

  Nursing home

  Care Compare affiliation
• Timothy Shafer, M.D.

  • Family Medicine Physician
  • Townshend, VT
  • NPI 1053301721

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1902895287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 GREENWAY DRIVE",
            "city": "VERNON",
            "state": "VT",
            "postal_code": "053549474",
            "telephone_number": "802-254-6041",
            "fax_number": "802-257-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 GREENWAY DRIVE",
            "city": "VERNON",
            "state": "VT",
            "postal_code": "053549474",
            "telephone_number": "802-254-6041",
            "fax_number": "802-257-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON ADVENT CHRISTIAN HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-254-6041",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475008",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VERNON GREEN NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Nowak, PT
• Katie E O'Brian, MS, OTR/L
• Valiere Oberg
• Karen Patten
• Madison Sommers McNary

• Skilled Nursing Facility in Vernon, VT
• Providers in Vernon, VT by specialty
• Skilled Nursing Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.