Healthcare Provider Details

I. General information

NPI: 1033230503
Provider Name (Legal Business Name): ADDISON COUNTY HOME HEALTH AND HOSPICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 ETHAN ALLEN HIGHWAY
NEW HAVEN VT
05472
US

IV. Provider business mailing address

PO BOX 754
MIDDLEBURY VT
05753-0754
US

V. Phone/Fax

Practice location:
  • Phone: 802-388-7259
  • Fax: 802-388-6126
Mailing address:
  • Phone: 802-388-7259
  • Fax: 802-388-6126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. TIM BROWNELL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 802-388-7259