NORTH COUNTRY HEALTH SERVICES INC (NPI# 1730173741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730173741 |
| Entity Type | Organization |
| Organization Name | NORTH COUNTRY HEALTH SERVICES INC |
| Other Organization Name | DERBY GREEN |
| Practice Address |
2853 Us Route 5 Derby VT 05829-9629 |
| Mailing Address |
Po Box 24 2853 Us Rte 5 Derby VT 05829-0024 |
| Practice Telephone | 8027662201 |
| Practice Fax Number | 8027662031 |
| Mailing Telephone | 8027662201 |
| Mailing Fax Number | 8027662031 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LISA ANN BOHLMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 8027662126 |
| Authorized Official Credential | RN BSN CCM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 47E054 | VT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 475048 | 05 |
| Other Name | Type Code |
|---|---|
| Derby Green | Doing Business As Name - Organization |
| Street Address |
2853 US ROUTE 5 |
| City | DERBY |
| State | VT |
| Zip Code | 05829-9629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730535493 | Daria Therese Torrisi | Social Worker | 57 Junior High Dr, Derby, VT 05829 | 2016-05-11 |
| 1962810598 | Mary J Gagne | Pharmacist | 115 Seymour Drive, Wal-mart Pharmacy, Derby, VT 05829 | 2014-07-28 |
| 1972938991 | Michael Thomas Kentoski | Pharmacist | 4408 U.S. Route 5, Derby, VT 05829 | 2013-09-10 |
| 1023316494 | Tony J Graveline | Counselor | 181 Crawford Road, Derby, VT 05829 | 2011-03-08 |
| 1144434051 | Robert Charles Ianni Jr. | Pharmacist | 4408 Us Route 5, Derby, VT 05829 | 2007-05-09 |
| 1710029806 | Edward H. Stonebraker | Chiropractor | 562 Main Street, Derby, VT 05829 | 2007-02-13 |
| 1669547576 | Dennis E. Leblanc, D.d.s. | Dentist | 296 Main St., Derby, VT 05829 | 2006-11-24 |
| 1194331355 | Claudia M Alexander | Social Worker | 181 Crawford Road, Derby, VT 05829 | 2020-09-22 |
| 1366088825 | Marie N Mcgregor | Counselor | 181 Crawford Road, Derby, VT 05829 | 2019-11-20 |
| 1508428665 | Aaron Billings | Counselor | 181 Crawford Road, Derby, VT 05829 | 2019-06-28 |
| Find all providers in zip 05829 | ||||
| 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 |
|---|---|---|---|---|
| 1316177959 | Derby Health & Rehabilitation | Skilled Nursing Facility | 731 Klein Cir, Derby, KS 67037-7011 | 2009-07-16 |
| 1144201344 | Spectrum Healthcare Derby, LLC | Skilled Nursing Facility | 210 Chatfield St, Derby, CT 06418-1150 | 2005-11-07 |
| 1932104775 | Lsl of Derby Ks LLC | Skilled Nursing Facility | 445 N Westview Dr, Derby, KS 67037-2228 | 2005-06-17 |
| 1174120539 | Azd Derby, LLC | Skilled Nursing Facility | 445 N Westview Dr, Derby, KS 67037-2228 | 2020-10-07 |
| 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 |
| 1871709741 | Rutland Crossings LLC | Skilled Nursing Facility | 99 Allen Street, Rutland, VT 05701 | 2007-05-15 |
| 1952517823 | Brattleboro Crossings LLC | Skilled Nursing Facility | 187 Oak Grove Avenue, Brattleboro, VT 05301 | 2007-05-15 |
| 1437229283 | Eden Park Management, Inc. | Skilled Nursing Facility | 99 Allen St, Rutland, VT 05701-4501 | 2006-11-09 |
| 1093885840 | Eden Park Management, Inc. | Skilled Nursing Facility | 187 Oak Grove Ave, Brattleboro, VT 05301-6642 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
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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.