Provider Demographics
NPI:1851343586
Name:THE UNIVERSITY OF VERMONT HEALTH NETWORK HOME HEALTH & HOSPICE, INC.
Entity Type:Organization
Organization Name:THE UNIVERSITY OF VERMONT HEALTH NETWORK HOME HEALTH & HOSPICE, INC.
Other - Org Name:UVMHN HOME HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND COO
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-860-4431
Mailing Address - Street 1:1110 PRIM RD
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-6403
Mailing Address - Country:US
Mailing Address - Phone:802-658-1900
Mailing Address - Fax:
Practice Address - Street 1:1110 PRIM RD
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-6403
Practice Address - Country:US
Practice Address - Phone:802-658-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0477000Medicaid
VT1004591Medicaid
VT1005865Medicaid
VT477000Medicare ID - Type Unspecified