ESSEX MANSFILED, LLC (NPI# 1356755102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356755102 |
Entity Type | Organization |
Organization Name | ESSEX MANSFILED, LLC |
Other Organization Name | MANSFIELD PLACE |
Practice Address |
18 Carmichael St Essex Jct VT 05452-3170 |
Practice Telephone | 8028715808 |
Mailing Telephone | 8028715808 |
Enumeration Date | 2014-06-19 |
Last Update Date | 2014-06-19 |
Authorized Official Name | MICHELLE GOKEY (BUSINESS MANAGER) |
Authorized Official Telephone | 8028715808 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Mansfield Place | Doing Business As Name - Organization |
Street Address |
18 CARMICHAEL ST |
City | ESSEX JCT |
State | VT |
Zip Code | 05452-3170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356878367 | Brooke Lockwood-cole | Counselor | 10-12 Pearl Street, Essex Junction, VT 05452 | 2017-05-22 |
1871962332 | Cyrus Patten | Social Worker | 10-12 Pearl St., Essex Jct, VT 05452 | 2015-09-15 |
1881982528 | Elaine Morse | Social Worker | 27 Kellogg Road, Essex Junction, VT 05452 | 2011-07-15 |
1376860767 | Jessica Marie Lunardini | Internal Medicine | 87 Main St., Fahc/pcim-given Essex, Essex Jct., VT 05452 | 2010-04-26 |
1992911242 | Lisa Cannizzaro | Speech-Language Pathologist | 36 Thomas Ln, Essex Junction, VT 05452 | 2007-05-15 |
1841415676 | Carla Marie Osgood | Psychologist | 8 Pearl St, Essex Jct, VT 05452 | 2007-04-16 |
1497885511 | Ann Tello Ramsay | Acupuncturist | 1 Towne Marketplace, Suite 33, Essex Junction, VT 05452 | 2007-03-07 |
1811069644 | Donald A Majercik | Surgery | 18 Pearl Street, Essex Junction, VT 05452 | 2006-11-15 |
1376639021 | Dorothy Fisher | Internal Medicine | 15 Rustic Drive, Essex Jct., VT 05452 | 2006-10-04 |
1881789345 | James Douglas Cummings | Neuromusculoskeletal Medicine & OMM | Champlain Sports Medcine, 67 Lincoln Street, Essex Junction, VT 05452 | 2006-10-03 |
Find all providers in zip 05452 |
Taxonomy Code | 3104A0630X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
Specialization | Assisted Living, Behavioral Disturbances |
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154405728 | Gingras Community Care Home | Assisted Living Facility | 24 Averill St, Barre, VT 05641-3818 | 2006-10-24 |
1902046675 | United Counseling Service | Assisted Living Facility | 100 Ledgehill Rd, Bennington, VT 05201-2273 | 2009-02-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.