Healthcare Provider Details

I. General information

NPI: 1356273742
Provider Name (Legal Business Name): HEALTH CARE AND REHABILITATION SERVICES OF SOUTHEASTERN VERMONT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 LINCOLN ST
SPRINGFIELD VT
05156-2510
US

IV. Provider business mailing address

390 RIVER ST
SPRINGFIELD VT
05156-2226
US

V. Phone/Fax

Practice location:
  • Phone: 802-885-7280
  • Fax: 802-886-4520
Mailing address:
  • Phone: 802-886-4500
  • Fax: 802-886-4520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: HEATHER LOCKWOOD
Title or Position: BILLING MANAGEER
Credential:
Phone: 802-886-4567