ELCM HOMESTEAD MANAGEMENT LLC (NPI# 1669929006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669929006 |
Entity Type | Organization |
Organization Name | ELCM HOMESTEAD MANAGEMENT LLC |
Other Organization Name | HOMESTEAD AT PILLSBURY MANOR |
Practice Address |
3 Harbor View Dr Saint Albans VT 05478-4477 |
Mailing Address |
14241 Dallas Pkwy Suite 650 Dallas TX 75254-2936 |
Practice Telephone | 8027522100 |
Practice Fax Number | 8027522057 |
Mailing Telephone | 9727288743 |
Mailing Fax Number | 2145949930 |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |
Authorized Official Name | MR. PAUL BOETHEL (PRINCIPAL) |
Authorized Official Telephone | 9727288739 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
IN PROCESS | VT | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Homestead at Pillsbury Manor | Doing Business As Name - Organization |
Street Address |
3 HARBOR VIEW DR |
City | SAINT ALBANS |
State | VT |
Zip Code | 05478-4477 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306324710 | Stephanie Paulick-maloney | Audiologist | Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 | 2018-07-30 |
1033632476 | Caroline D Homan | Speech-Language Pathologist | 596 Seymour Road, St. Albans City, VT 05478 | 2017-07-18 |
1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
1942523576 | Heather Elizabeth Deslauriers | Pharmacist | 164 Swaton Rd, St.albans, VT 05478 | 2010-03-10 |
1154529451 | Elizabeth Maria Felcyn Dupont | Occupational Therapist | 596 Sheldon Road, St Albans, VT 05478 | 2007-07-07 |
1467674580 | James Robert Nelson | Counselor | 92 Fairfield Street, St. Albans, VT 05478 | 2007-05-02 |
1942429519 | Odette Susan Taylor | Physical Therapist | 3 Home Health Circle, St Albans, VT 05478 | 2007-04-24 |
1558588418 | Elizabeth Nelson Dmd PC | Dentist | 10 Mapleville Depot, St. Albans, VT 05478 | 2007-04-19 |
Find all providers in zip 05478 |
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 |
---|---|---|---|---|
1003225731 | Melisa Gayle | Custodial Care Facility | 11315 204th St, Saint Albans, NY 11412-2534 | 2014-08-06 |
1700905627 | The King's Daughters Home, Inc. | Custodial Care Facility | 10 Rugg St, Saint Albans, VT 05478-1713 | 2007-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
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 |
1508997487 | Mayo Healthcare Inc | Custodial Care Facility | 610 Water St, Northfield, VT 05663-5640 | 2007-03-09 |
1790810786 | Pillsbury Associates, Inc | Custodial Care Facility | 20 Harbor View Rd, South Burlington, VT 05403-7850 | 2007-02-22 |
Find all providers with the same taxonomy |
City | SAINT ALBANS |
Zip Code | 05478 |
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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.