2 BLACKBERRY LANE OPERATIONS LLC (NPI# 1831574052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831574052 |
| Entity Type | Organization |
| Organization Name | 2 BLACKBERRY LANE OPERATIONS LLC |
| Other Organization Name | BENNINGTON HEALTH AND REHABILITATION CENTER |
| Practice Address |
2 Blackberry Ln Bennington VT 05201-2300 |
| Practice Telephone | 8024428525 |
| Practice Fax Number | 8024428526 |
| Mailing Telephone | 8024428525 |
| Mailing Fax Number | 8024428526 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | MICHAEL T BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684742 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT CARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 00000 | VT | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Bennington Health and Rehabilitation Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | 2 BLACKBERRY LANE OPERATIONS LLC | 101 East State Street, Kennett Square, PA 19348 |
| Street Address |
2 BLACKBERRY LN |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497385371 | Bethany O'neil | Occupational Therapy Assistant | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2020-01-20 |
| 1659918613 | Greg Depaolis | Occupational Therapy Assistant | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2019-12-09 |
| 1821585951 | Sarah Elizabeth Underwood | Physical Therapy Assistant | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2018-04-14 |
| 1912403049 | Joel Daniel Flenniken | Physical Therapy Assistant | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2018-04-05 |
| 1518489657 | Ashley Loren Callanan | Occupational Therapy Assistant | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2017-07-11 |
| 1821462250 | Lauren Adams | Speech-Language Pathologist | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2015-11-23 |
| 1598139008 | Jeffrey Berry | Physical Therapy Assistant | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2015-11-20 |
| 1851765655 | Katherine Angrisano | Occupational Therapy Assistant | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2015-11-18 |
| 1538533245 | Leslie Bayetis | Occupational Therapy Assistant | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2015-11-18 |
| 1043684806 | Chito Villarin | Physical Therapist | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2015-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| 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 |
|---|---|---|---|---|
| 1730155409 | Csr Corp | Skilled Nursing Facility | 312 Crescent Blvd, Bennington, VT 05201 | 2006-02-23 |
| 1023090651 | Vermont Veterans' Home | Skilled Nursing Facility | 325 North Street, Bennington, VT 05201-1858 | 2005-11-18 |
| 1063409043 | Bennington Health and Rehabilitation Center LLC | Skilled Nursing Facility | 2 Blackberry Lane, Bennington, VT 05201-2300 | 2005-10-04 |
| 1376539353 | Vermont Veterans Home | Skilled Nursing Facility | 325 North St, Bennington, VT 05201-1858 | 2005-09-23 |
| 1780767483 | Mount Anthony Housing Corporation | Skilled Nursing Facility | 160 Hospital Dr, Bennington, VT 05201-2279 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1407934334 | Starr Farm Partnership | Skilled Nursing Facility | 98 Starr Farm Rd, Burlington, VT 05401-1323 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
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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.