GIFFORD RETIREMENT COMMUNITY, INC (NPI# 1366832230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366832230 |
| Entity Type | Organization |
| Organization Name | GIFFORD RETIREMENT COMMUNITY, INC |
| Other Organization Name | MENIG NURSING HOME |
| Practice Address |
3556 Rt 66 Randolph VT 05060-1318 |
| Mailing Address |
44 S Main St Po Box 2000 Randolph VT 05060-1381 |
| Practice Telephone | 8027282125 |
| Practice Fax Number | 8027282143 |
| Mailing Telephone | 8027287000 |
| Mailing Fax Number | 8027282143 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |
| Authorized Official Name | MR. JEFFREY C HEBERT (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8027282356 |
| Is Organization Subpart | Y |
| Parent Organization Name | GIFFORD RETIREMENT COMMUNITY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Menig Nursing Home | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | GIFFORD RETIREMENT COMMUNITY, INC. | 44 South Main Street, P.o. Box 2000, Randolph, VT 05060 |
| Street Address |
3556 RT 66 |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| 1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
| 1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
| 1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
| 1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
| 1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
| 1891117545 | Penny Fossman | Registered Nurse | 44 S Main St, Randolph, VT 05060 | 2014-01-15 |
| 1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
| 1770840829 | Andrea L. Larosa | Nurse Practitioner | 44 South Main Street, Box 2000, Randolph, VT 05060 | 2012-04-13 |
| 1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
| Find all providers in zip 05060 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720374952 | Gifford Medical Center | Nursing Facility/Intermediate Care Facility | 44 S Main St, Randolph, VT 05060-1381 | 2011-06-27 |
| 1710081120 | Gifford Medical Center | Nursing Facility/Intermediate Care Facility | 44 S Main St, Randolph, VT 05060-1381 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528361326 | Forest Hill Residential Care Home | Nursing Facility/Intermediate Care Facility | 213 Clark Drive, Hyde Park, VT 05655-9218 | 2010-12-16 |
| 1932248309 | Brattleboro Mutual Aid Association, Inc. | Nursing Facility/Intermediate Care Facility | 80 Maple St, Brattleboro, VT 05301-6551 | 2007-02-05 |
| 1861488520 | Merten's House | Nursing Facility/Intermediate Care Facility | 73 River St, Woodstock, VT 05091-1226 | 2005-09-27 |
| 1124027503 | Mcgirr Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 33 Atkinson St, Bellows Falls, VT 05101-1502 | 2005-07-19 |
| 1588666754 | Cedar Hill Health Care Corporation | Nursing Facility/Intermediate Care Facility | 49 Cedar Hill Dr, Windsor, VT 05089-9470 | 2005-06-01 |
| 1942629860 | Maple Hill Residential Care Home | Nursing Facility/Intermediate Care Facility | 26 Union St, Waterbury, VT 05676-1303 | 2014-04-08 |
| 1497173470 | David W Anderson | Nursing Facility/Intermediate Care Facility | 26 Union St, Waterbury, VT 05676-1303 | 2014-04-07 |
| 1295172369 | Cm Healthcare LLC | Nursing Facility/Intermediate Care Facility | 312 Crescent Blvd, Bennington, VT 05201-2419 | 2013-05-30 |
| 1619091337 | Cedar Hill Healthcare Center | Nursing Facility/Intermediate Care Facility | 49 Cedar Hill Dr, Windsor, VT 05089-9470 | 2007-03-19 |
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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.