Provider Demographics
NPI:1609648146
Name:ADDISON COUNTY HOME HEALTH& HOSPICE, INC.
Entity Type:Organization
Organization Name:ADDISON COUNTY HOME HEALTH& HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:802-388-7259
Mailing Address - Street 1:P.O. BOX 754
Mailing Address - Street 2:
Mailing Address - City:ETHAN ALLEN HWY
Mailing Address - State:VT
Mailing Address - Zip Code:05472
Mailing Address - Country:US
Mailing Address - Phone:802-388-7259
Mailing Address - Fax:802-388-6126
Practice Address - Street 1:254 ETHAN ALLEN HWY
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:VT
Practice Address - Zip Code:05472
Practice Address - Country:US
Practice Address - Phone:802-388-7259
Practice Address - Fax:802-388-6126
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADDISON COUNTY HOME HEALTH & HOS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty