MAYO HEALTHCARE INC (NPI# 1508997487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508997487 |
| Entity Type | Organization |
| Organization Name | MAYO HEALTHCARE INC |
| Other Organization Name | MAYO MANOR |
| Practice Address |
610 Water St Northfield VT 05663-5640 |
| Mailing Address |
71 Richardson St Northfield VT 05663-5644 |
| Practice Telephone | 8024853161 |
| Mailing Telephone | 8024853161 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LOIS A LUSIGNAN (BUSINESS MANAGER) |
| Authorized Official Telephone | 8024853161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
0199 | VI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 047W056 | 05 |
| Other Name | Type Code |
|---|---|
| MAYO MANOR | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588709653 | Mayo Healthcare Inc | Custodial Care Facility | 220 Vine St, Northfield, VT 05663-6751 | 2007-02-20 |
| 1689661365 | Mayo Healthcare Inc | Skilled Nursing Facility | 71 Richardson St, Northfield, VT 05663-5644 | 2005-09-29 |
| Street Address |
610 WATER ST |
| City | NORTHFIELD |
| State | VT |
| Zip Code | 05663-5640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801929187 | Mayo Healthcare | Custodial Care Facility | 610 Water St, Northfield, VT 05663-5640 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841622420 | Erin Palmer | Counselor | 38 N. Main Street, Suite 1, Northfield, VT 05663 | 2013-08-06 |
| 1861603599 | Laura Snell Murphy | Occupational Therapist | 71 Richardson Avenue, Northfield, VT 05663 | 2007-05-24 |
| 1972715886 | Colleen Gayle Wilford | Physical Therapist | 171 Richardson Ave., Northfield, VT 05663 | 2007-05-04 |
| 1487179933 | Daisy Natalia Ramirez | Specialist/Technologist | 158 Harmon Dr, Nu Box 1942, Northfield, VT 05663 | 2017-08-06 |
| 1972924405 | Barbara Steven Balch | Registered Nurse | 130 Fisher Rd, Central Vt Medical Center, Berlin, VT 05663 | 2013-12-31 |
| 1912341306 | Loretta B. Charles | Nurse Practitioner | 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 | 2013-04-29 |
| 1134495054 | Timothy John Partridge | Family Medicine | 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663 | 2012-03-26 |
| 1881975522 | Elizabeth Nugba | Physician Assistant | 87 Paine Mountain Dr, Northfield, VT 05663 | 2011-09-08 |
| 1770596991 | Debra Maloney-evans | Nurse Practitioner | 87 Paine Mountain Drive, Green Mountain Family Practice, Northfield, VT 05663-0000 | 2006-08-15 |
| 1932142577 | Melinda J Mariano | Speech-Language Pathologist | 749 Route 12 South, Northfield, VT 05663-0142 | 2006-06-13 |
| Find all providers in zip 05663 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588709653 | Mayo Healthcare Inc | Custodial Care Facility | 220 Vine St, Northfield, VT 05663-6751 | 2007-02-20 |
| 1801929187 | Mayo Healthcare | Custodial Care Facility | 610 Water St, Northfield, VT 05663-5640 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929006 | Elcm Homestead Management LLC | Custodial Care Facility | 3 Harbor View Dr, Saint Albans, VT 05478-4477 | 2016-09-01 |
| 1518365485 | Bradford Oasis | Custodial Care Facility | 92 Cottage St, Bradford, VT 05033-8897 | 2014-12-09 |
| 1194920488 | Lakewood Adult Family Home Inc | Custodial Care Facility | 69 Rainbows End, Bomoseen, VT 05732-4417 | 2007-06-18 |
| 1457573545 | The Squier House, Inc. | Custodial Care Facility | 26 Union Street, Waterbury, VT 05676-0000 | 2007-05-02 |
| 1114142825 | Roxanne Hanson Ladabouche | Custodial Care Facility | 34 Canada St, Swanton, VT 05488-1041 | 2007-04-16 |
| 1538282140 | Sharon Sylvester | Custodial Care Facility | 70 Birch St, Bradford, VT 05033-9027 | 2007-04-09 |
| 1437272085 | Clarks Residential Care Home LLC | Custodial Care Facility | 213 Clark Rd, Hyde Park, VT 05655-9218 | 2007-04-09 |
| 1700905627 | The King's Daughters Home, Inc. | Custodial Care Facility | 10 Rugg St, Saint Albans, VT 05478-1713 | 2007-03-29 |
| 1528185360 | Craftsbury Community Care Center, Inc. | Custodial Care Facility | 1784 E Craftsbury Rd, Craftsbury, VT 05826-9519 | 2007-03-26 |
| 1154446367 | Windover House Inc | Custodial Care Facility | 451 Vt Route 66, Randolph, VT 05060-9387 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTHFIELD |
| Zip Code | 05663 |
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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.