Sapphire Center

LBN: Dynamic Engagement Institute, L3C
Sapphire Center is an health care organization with primary practice located at 87 Rivers Bend Rd , New Haven VT 05472-1101. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Dynamic Engagement Institute, L3C can be contacted via phone (802) 388-3887, or through Fouts, Michele Aaron via phone (802) 388-3887.

Contact Information

Primary practice address
87 Rivers Bend Rd New Haven VT 05472-1101
Fax:
Website:
Authorized official contact:
Name: Fouts, Michele Aaron Master of Arts (MA)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 0470084103 Vermont
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 0470084103 Vermont

Profile Details

NPI number 1174888408
LBN Legal business name Dynamic Engagement Institute, L3C
DBA Doing business as Sapphire Center
Authorized official Fouts, Michele Aaron Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2012
Last updated Jul 12th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174888408 NPPES
Vermont MEDICAID 1020502

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