Provider Demographics
NPI:1720114168
Name:THE HOMESTEAD, INC.
Entity Type:Organization
Organization Name:THE HOMESTEAD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:M
Authorized Official - Last Name:VAN DA GRIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-457-1310
Mailing Address - Street 1:73 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:VT
Mailing Address - Zip Code:05091-1226
Mailing Address - Country:US
Mailing Address - Phone:802-457-1310
Mailing Address - Fax:802-457-4267
Practice Address - Street 1:73 RIVER ST
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:VT
Practice Address - Zip Code:05091-1226
Practice Address - Country:US
Practice Address - Phone:802-457-1310
Practice Address - Fax:802-457-4267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0135311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility