NPIMap

Organization Active NPI

Burlington Health and Rehabilitation Center LLC

Doing business as Burlington Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Burlington, VT
National Provider Identifier
1942297940
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BURLINGTON HEALTH AND REHABILITATION CENTER LLC
Doing business as
Burlington Health and Rehabilitation Center
Practice address
300 Pearl Street
Burlington, VT 05401-8531
Phone
(802) 658-4200
Fax
(802) 863-8016
NPI assigned
Oct 4, 2005
Last updated
Jun 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Ms. Carole M Scillia
Title
LLC Manager
Phone
(203) 608-6100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0270000355 VT
Skilled Nursing Facility 314000000X VT Primary

Addresses

Primary practice location

300 Pearl Street
Burlington, VT 05401-8531

Mailing address

538 Preston Avenue
Suite 270
Meriden, CT 06450-4851
Phone (203) 608-6100

Other identifiers 1

IdentifierTypeStateIssuer
0475014MedicaidVT

Other names 1

  • Burlington Health and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bennington Health and Rehabilitation Center LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1942297940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 PRESTON AVENUE",
            "address_2": "SUITE 270",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504851",
            "telephone_number": "203-608-6100",
            "fax_number": "203-639-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PEARL STREET",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018531",
            "telephone_number": "802-658-4200",
            "fax_number": "802-863-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "SCILLIA",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "203-608-6100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": "0270000355",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475014",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.