NPIMap

Organization Active NPI

St. Johnsbury Health and Rehabilitation Center LLC

Doing business as St. Johnsbury Health and Rehabilitation Center

  • Skilled Nursing Facility
  • St Johnsbury, VT
National Provider Identifier
1992793491
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST. JOHNSBURY HEALTH AND REHABILITATION CENTER LLC
Doing business as
St. Johnsbury Health and Rehabilitation Center
Practice address
1248 Hospital Drive
St Johnsbury, VT 05819-9239
Phone
(802) 748-8757
Fax
(802) 748-6503
NPI assigned
Oct 10, 2005
Last updated
Sep 20, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
VERMONT SUBACUTE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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 0270000333 VT
Skilled Nursing Facility 314000000X VT Primary

Addresses

Primary practice location

1248 Hospital Drive
St Johnsbury, VT 05819-9239

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0475019MedicaidVT

Other names 1

  • St. Johnsbury 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": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1992793491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 PRESTON AVE",
            "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": "1248 HOSPITAL DRIVE",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199239",
            "telephone_number": "802-748-8757",
            "fax_number": "802-748-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHNSBURY HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERMONT SUBACUTE LLC",
        "enumeration_date": "2005-10-10",
        "last_updated": "2016-09-20",
        "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": "0270000333",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475019",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Johnsbury Health and Rehabilitation Center",
            "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 Sep 20, 2016; 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.