MEDICARE: HEALTH CARE & REHABILITATION SERVICES OF SE VT INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164162657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE & REHABILITATION SERVICES OF SE VT INC.

Provider Business Mailing Address
First Line	:	390 RIVER ST
Second Line	:
City	:	SPRINGFIELD
State	:	VT
Zip	:	05156-2226
Country	:	US
Telephone Number	:	802-886-4500
Fax Number	:	802-886-4520

Provider Business Practice Location Address
First Line	:	330 LINDEN ST
Second Line	:
City	:	BRATTLEBORO
State	:	VT
Zip	:	05301-4809
Country	:	US
Telephone Number	:	802-275-4971
Fax Number	:	802-886-4520

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	HEATHER LOCKWOOD
Credential	:
Telephone Number	:	802-886-4567

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	05/29/2026

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