LUND FAMILY CENTER (NPI# 1851410401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851410401 |
Entity Type | Organization |
Organization Name | LUND FAMILY CENTER |
Practice Address |
76 Glen Rd Burlington VT 05401-4131 |
Mailing Address |
Po Box 4009 Burlington VT 05406-4009 |
Practice Telephone | 8028647467 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2008-01-22 |
Authorized Official Name | BARBARA RACHELSON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8028647467 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 1008038 | 05 |
Street Address |
76 GLEN RD |
City | BURLINGTON |
State | VT |
Zip Code | 05401-4131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306468780 | Laura Biron Ivins | Social Worker | 76 Glen Rd, Burlington, VT 05401-4131 | 2020-05-08 |
1609497932 | Kelsey D Conroy | Social Worker | 76 Glen Rd, Burlington, VT 05401-4131 | 2020-04-28 |
1922633809 | Madeline Bacon | Social Worker | 76 Glen Rd, Burlington, VT 05401-4131 | 2020-03-11 |
1255822391 | The Lund Family Center | Community Based Residential Treatment Facility, Mental Illness | 76 Glen Rd, Burlington, VT 05401-4131 | 2018-05-24 |
1629584875 | Brian Patterson Southworth | Social Worker | 76 Glen Rd, Burlington, VT 05406-4009 | 2017-12-26 |
1609381094 | Greeta Mae Soderholm | Counselor | 76 Glen Rd, Burlington, VT 05401-4131 | 2017-12-06 |
1689931396 | Amy S Woodruff | Counselor | 76 Glen Rd, Burlington, VT 05401-4131 | 2012-04-19 |
1770794323 | Lund Family Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 76 Glen Rd, Burlington, VT 05401-4131 | 2007-05-25 |
1972622256 | Lund Family Center Healthy Babies | Public Health or Welfare | 76 Glen Rd, Burlington, VT 05401-4131 | 2007-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
Find all providers in zip 05401 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
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1275678690 | Residential Treatment Services | Substance Abuse Rehabilitation Facility | 136 Hall Ave, Burlington, NC 27217-2310 | 2007-02-21 |
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1427668524 | Silver Pines Partners, LLC | Substance Abuse Rehabilitation Facility | 3430 Mountain Rd, Stowe, VT 05672-4800 | 2020-08-04 |
1881901825 | Sunset House - Birdseye, Inc. | Substance Abuse Rehabilitation Facility | 511 Sand Hill Road, Castleton, VT 05735 | 2010-09-13 |
1336348705 | Spring Lake Ranch | Substance Abuse Rehabilitation Facility | 1169 Spring Lake Rd, Cuttingsville, VT 05738-4418 | 2007-07-16 |
1396808499 | Oas, LLC | Substance Abuse Rehabilitation Facility | 23 Upper Pln, Bradford, VT 05033-9016 | 2006-12-19 |
1851952055 | Recovery House, Inc. | Substance Abuse Rehabilitation Facility | 35 Washington St, Rutland, VT 05701-5029 | 2019-06-27 |
1992362271 | Oas, LLC | Substance Abuse Rehabilitation Facility | 1 Alden Pl, Vergennes, VT 05491-1102 | 2019-05-22 |
1922051242 | Recovery House, Inc. | Substance Abuse Rehabilitation Facility | 98 Church St, Wallingford, VT 05773-9650 | 2006-05-18 |
City | BURLINGTON |
Zip Code | 05401 |
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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.