Vermont Healthcare, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

015600938 Issued in CA

Legal business name

VERMONT HEALTHCARE, LLC

Practice address

865 Vermont St
Oakland, CA 94610-2120

Phone

(510) 835-3632

NPI assigned

Feb 14, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Elpidio A Magalond

Title

MBR

Phone

(510) 835-3632

Specialties & licenses 1

Addresses

Other names 1

• Bells Rest Home Former legal business name

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1962826610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 VERMONT ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102120",
            "telephone_number": "510-835-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 VERMONT ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102120",
            "telephone_number": "510-835-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "MAGALOND",
        "authorized_official_first_name": "ELPIDIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "510-835-3632",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "015600938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bells Rest Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Barbara Verdugo Garcia
• Lana Verkuil, MD
• Anil Verma
• Sidharth Verma, D.C.
• Runn Vermel, CMT
• Sharon Vernon III
• Simrat Kaur Verraich
• Melanie Verrico
• Anna Lannhi Vertido, MD
• Lynette Vertilus

• Adult Care Home Facility in Oakland, CA
• Providers in Oakland, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.