NPIMap

Organization Active NPI

Vermont Catholic Charities, Inc.

Doing business as St. Joseph's Home

  • Adult Care Home Facility
  • Burlington, VT
National Provider Identifier
1952412017
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
0155 Issued in VT
Legal business name
VERMONT CATHOLIC CHARITIES, INC.
Doing business as
St. Joseph's Home
Practice address
243 North Prospect Street
Burlington, VT 05401-1609
Phone
(802) 864-0263
Fax
(802) 864-5640
NPI assigned
Aug 31, 2006
Last updated
Nov 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Mrs. Denise M Payea
Title
Business Manager
Phone
(802) 658-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 0155 VT Primary

Addresses

Primary practice location

243 North Prospect Street
Burlington, VT 05401-1609

Mailing address

55 Joy Drive
South Burlington, VT 05403-0000
Phone (802) 658-6111

Other identifiers 2

IdentifierTypeStateIssuer
047W110MedicaidVT
047W080MedicaidVT

Other names 1

  • St. Joseph's Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vermont Catholic Charities Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

243 N Prospect St
Burlington, VT 05401
Phone (802) 864-0263

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1952412017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 JOY DRIVE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054030000",
            "telephone_number": "802-658-6111",
            "fax_number": "802-860-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 NORTH PROSPECT STREET",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011609",
            "telephone_number": "802-864-0263",
            "fax_number": "802-864-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT CATHOLIC CHARITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "PAYEA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "802-658-6111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VT",
            "license": "0155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W110",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W080",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph's Home",
            "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 Nov 29, 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.