NPIMap

Organization Active NPI

Northern Counties Health Care, Inc.

Doing business as Caledonia Home Health Care

  • Home Health Agency
  • St Johnsbury, VT
National Provider Identifier
1982728408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTHERN COUNTIES HEALTH CARE, INC.
Doing business as
Caledonia Home Health Care
Practice address
161 Sherman Drive
St. Johnsbury, VT 05819
Phone
(802) 748-8116
Fax
(802) 748-4628
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jack Donnelly
Title
Interim Executive Director
Phone
(802) 748-9405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X VT Primary

Addresses

Primary practice location

161 Sherman Drive
St. Johnsbury, VT 05819

Mailing address

161 Sherman Drive
St. Johnsbury, VT 05819
Phone (802) 748-8116

Other identifiers 6

IdentifierTypeStateIssuer
47-W004MedicaidVT
1005008MedicaidVT
T001703OtherVTCHAMPUS-HOSPICE
1004923MedicaidVT
1005248MedicaidVT
1005275MedicaidVT

Other names 1

  • Caledonia Home Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hardwick Area HLTH Cent17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982728408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 SHERMAN DRIVE",
            "city": "ST. JOHNSBURY",
            "state": "VT",
            "postal_code": "05819",
            "telephone_number": "802-748-8116",
            "fax_number": "802-748-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SHERMAN DRIVE",
            "city": "ST. JOHNSBURY",
            "state": "VT",
            "postal_code": "05819",
            "telephone_number": "802-748-8116",
            "fax_number": "802-748-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COUNTIES HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-748-9405",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-W004",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005008",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-HOSPICE",
            "identifier": "T001703",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004923",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005248",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005275",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caledonia Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.