HAVEN HEALTH CENTER OF RUTLAND, LLC (NPI# 1508839531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508839531 |
| Entity Type | Organization |
| Organization Name | HAVEN HEALTH CENTER OF RUTLAND, LLC |
| Practice Address |
46 Nichols St Rutland VT 05701-3275 |
| Practice Telephone | 8027752941 |
| Practice Fax Number | 8027732196 |
| Mailing Telephone | 8027752941 |
| Mailing Fax Number | 8027732196 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | PAULA BLOOM (DIRECTOR OF AR) |
| Authorized Official Telephone | 8603443884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 0475039 | VT | Nursing & Custodial Care Facilities |
| N | 310400000X | Assisted Living Facility | 047W089 | VT | Nursing & Custodial Care Facilities |
| N | 311Z00000X | Custodial Care Facility | 047W049 | VT | Nursing & Custodial Care Facilities |
| N | 385H00000X | Respite Care | 047R023 | VT | Respite Care Facility |
| Y | 314000000X | Skilled Nursing Facility | 475039 | VT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0475039 | 05 | |
| VT | 047W089 | 05 | |
| VT | 047R023 | 05 | |
| VT | 047W049 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | HAVEN HEALTH CENTER OF RUTLAND, LLC | 245 Long Hill Road, Middletown, CT 06457 |
| Street Address |
46 NICHOLS ST |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-3275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180683 | Kelsey Margaret Mcginnis | Occupational Therapist | 46 Nichols St, Rutland, VT 05701-3275 | 2020-07-06 |
| 1043777931 | Mackenzie Kristen Ormiston | Occupational Therapist | 46 Nichols St, Rutland, VT 05701-3275 | 2019-02-27 |
| 1710473848 | Alyssa Nicole Johnson | Speech-Language Pathologist | 46 Nichols St, Rutland, VT 05701-3275 | 2018-07-01 |
| 1003283508 | Joseph M Myers | Physical Therapist | 46 Nichols St, Rutland, VT 05701-3275 | 2015-09-01 |
| 1700262656 | Caitlyn Hall | Physical Therapist | 46 Nichols St, Rutland, VT 05701-3275 | 2015-08-03 |
| 1790100246 | Rutland Health and Rehab Center | Preferred Provider Organization | 46 Nichols St, Rutland, VT 05701-3275 | 2014-02-20 |
| 1154761724 | Sean Michael Trombley | Physical Therapy Assistant | 46 Nichols St, Rutland, VT 05701-3275 | 2013-06-27 |
| 1124369079 | Mary Beth Zendzian | Physical Therapy Assistant | 46 Nichols St, Rutland, VT 05701-3275 | 2013-03-01 |
| 1871861872 | Maria Deborah Morales De Guzman | Physical Therapist | 46 Nichols St, Rutland, VT 05701-3275 | 2011-12-05 |
| 1336428127 | Jenna Lindsay Mcwilliam | Occupational Therapy Assistant | 46 Nichols St, Rutland, VT 05701-3275 | 2011-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
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| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871709741 | Rutland Crossings LLC | Skilled Nursing Facility | 99 Allen Street, Rutland, VT 05701 | 2007-05-15 |
| 1437229283 | Eden Park Management, Inc. | Skilled Nursing Facility | 99 Allen St, Rutland, VT 05701-4501 | 2006-11-09 |
| 1255879912 | Grs | Skilled Nursing Facility | 9 Haywood Ave, Rutland, VT 05701-4832 | 2017-02-02 |
| 1174774657 | Forty-six Nichols Street Operations LLC | Skilled Nursing Facility | 46 Nichols St, Rutland, VT 05701-3275 | 2008-10-02 |
| 1205018694 | Nine Haywood Avenue Operations LLC | Skilled Nursing Facility | 9 Haywood Ave, Rutland, VT 05701-4832 | 2007-11-28 |
| 1407892532 | Mckerley Health Care Centers, Inc. | Skilled Nursing Facility | 9 Haywood Ave, Rutland, VT 05701-4832 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831574052 | 2 Blackberry Lane Operations LLC | Skilled Nursing Facility | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2015-07-29 |
| 1598153322 | Cck Holdings, LLC | Skilled Nursing Facility | 7 Forest Hill Dr, Saint Albans, VT 05478-1615 | 2015-01-01 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1982918843 | Genesis Healthcare Lebanon | Skilled Nursing Facility | 1218 South Randolph Road, Randolph Center, VT 05061 | 2010-08-03 |
| 1679739445 | Lisa Lyn Shover | Skilled Nursing Facility | 63 Spring St, Newport, VT 05855-5819 | 2008-07-31 |
| 1518156603 | Kingdom Kare Rehabilitation Center | Skilled Nursing Facility | Mail Stop # 500, Maple Hill Road, Barton, VT 05822-0500 | 2007-10-15 |
| 1952517823 | Brattleboro Crossings LLC | Skilled Nursing Facility | 187 Oak Grove Avenue, Brattleboro, VT 05301 | 2007-05-15 |
| 1093885840 | Eden Park Management, Inc. | Skilled Nursing Facility | 187 Oak Grove Ave, Brattleboro, VT 05301-6642 | 2006-11-09 |
| 1407934334 | Starr Farm Partnership | Skilled Nursing Facility | 98 Starr Farm Rd, Burlington, VT 05401-1323 | 2006-11-01 |
| 1972691178 | Silver Corporation | Skilled Nursing Facility | 148 Prouty Dr, Newport, VT 05855-9513 | 2006-10-11 |
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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.