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NPI Code Detail

MEDICARE: ADDISON COUNTY HOME HEALTH AND HOSPICE, INC

MEDICARE: ADDISON COUNTY HOME HEALTH AND HOSPICE, 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
1251E00000XHome Health Agency

Other Identifiers

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

General Provider Information

NPI Number : 1275653081
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADDISON COUNTY HOME HEALTH AND HOSPICE, INC
Provider Business Mailing Address
First Line : PO BOX 754
Second Line :
City : MIDDLEBURY
State : VT
Zip : 05753-0754
Country : US
Telephone Number : 802-388-7259
Fax Number : 802-388-6126
Provider Business Practice Location Address
First Line : 254 ETHAN ALLEN HIGHWAY
Second Line :
City : NEW HAVEN
State : VT
Zip : 05472
Country : US
Telephone Number : 802-388-7259
Fax Number : 802-388-6126
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. TIM BROWNELL
Credential :
Telephone Number : 802-388-7259
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/06/2017

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1033230503 — ADDISON COUNTY HOME HEALTH AND HOSPICE, INC
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1508987058 — ADDISON COUNTY HOME HEALTH AND HOSPICE, INC
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1437270626 — ADDISON COUNTY HOME HEALTH AND HOSPICE, INC
Practice Location Address:
254 ETHAN ALLEN HIGHWAY
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05472
Practice Phone: 802-388-7259
Practice Fax: 802-388-6126

Directions to “ADDISON COUNTY HOME HEALTH AND HOSPICE, INC ” Practice Location

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