ELCM HOMESTEAD MANAGEMENT LLC


Address: 3 Harbor View Dr, Saint Albans, VT 05478-4477
Phone: 8027522100

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Homestead at Pillsbury Manor Doing Business As Name - Organization

Office Location

Street Address 3 HARBOR VIEW DR
City SAINT ALBANS
State VT
Zip Code 05478-4477

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SAINT ALBANS
Zip Code 05478

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Dataset Information

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.

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