Provider Demographics
NPI:1497186779
Name:CENTRAL VERMONT HOME HEALTH & HOSPICE, INC
Entity Type:Organization
Organization Name:CENTRAL VERMONT HOME HEALTH & HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:B
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-223-1878
Mailing Address - Street 1:600 GRANGER RD
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-5369
Mailing Address - Country:US
Mailing Address - Phone:802-223-1878
Mailing Address - Fax:802-223-2861
Practice Address - Street 1:600 GRANGER RD
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-5369
Practice Address - Country:US
Practice Address - Phone:802-223-1878
Practice Address - Fax:802-223-2861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT047W016Medicaid