Provider Demographics
NPI:1043429418
Name:SILVER CORPORATION
Entity Type:Organization
Organization Name:SILVER CORPORATION
Other - Org Name:NEWPORT RESIDENTIAL CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING AND FINANCIAL OFFIC
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:H
Authorized Official - Last Name:WEDDINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-334-7321
Mailing Address - Street 1:148 PROUTY DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-9513
Mailing Address - Country:US
Mailing Address - Phone:802-334-7321
Mailing Address - Fax:802-334-1548
Practice Address - Street 1:148 PROUTY DR
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-9513
Practice Address - Country:US
Practice Address - Phone:802-334-7321
Practice Address - Fax:802-334-1548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT047W269Medicaid