Lakewood Adult Family Home Inc

LBN: Lakewood Adult Family Home Inc
Lakewood Adult Family Home Inc is an health care organization with primary practice located at 69 Rainbows End , Bomoseen VT 05732-4417. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Lakewood Adult Family Home Inc can be contacted via phone (802) 468-3010, or through Church, Richard James via phone (802) 468-3010.

Contact Information

Primary practice address
69 Rainbows End Bomoseen VT 05732-4417
Phone: (802) 468-3010
Fax: (802) 468-5374
Website:
Map and Directions
Authorized official contact:
Name: Church, Richard James
Phone: (802) 468-3010

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 544 Vermont

Profile Details

NPI number 1194920488
LBN Legal business name Lakewood Adult Family Home Inc
DBA Doing business as
Authorized official Church, Richard James
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2007
Last updated Jun 24th, 2008 - about 16 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 1194920488 NPPES
Vermont MEDICAID 047W278

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