The Kingdom Kares Maple Lane Ops LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE KINGDOM KARES MAPLE LANE OPS LLC

Doing business as

Maple Lane Nursing Home

Practice address

60 Maple LN
Barton, VT 05822-9494

Phone

(802) 754-8575

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By 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

Travis Bergeron, CEO

Title

Owner/Ceo

Phone

(802) 745-7044

Specialties & licenses 1

Addresses

Other names 1

• Maple Lane Nursing Home Doing business as

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1952207623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MAPLE LN",
            "city": "BARTON",
            "state": "VT",
            "postal_code": "058229494",
            "telephone_number": "802-754-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAPLE LN",
            "city": "BARTON",
            "state": "VT",
            "postal_code": "058229494",
            "telephone_number": "802-754-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KINGDOM KARES MAPLE LANE OPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "802-745-7044",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Lane Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Menard, MS, CCC-SLP
• Gail Carol Middlebrook, M.A. LCMHC LADC
• North Country Hospital & Health Center Inc (North Country Primary Care Barton Orleans)
• Orleans Central Supervisory Union
• The Kingdom Kares Maple Lane LLC (Maple Lane Nursing Home)
• Virginia Sylvia Ullery, M.S., CCC-SLP
• Mary Wells, IBCLC
• Julie Gabrielle Young

• Skilled Nursing Facility in Barton, VT
• Providers in Barton, 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 Oct 19, 2026; 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.