Healthcare Provider Details

I. General information

NPI: 1902895287
Provider Name (Legal Business Name): VERNON ADVENT CHRISTIAN HOME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 GREENWAY DRIVE
VERNON VT
05354-9474
US

IV. Provider business mailing address

61 GREENWAY DRIVE
VERNON VT
05354-9474
US

V. Phone/Fax

Practice location:
  • Phone: 802-254-6041
  • Fax: 802-257-5362
Mailing address:
  • Phone: 802-254-6041
  • Fax: 802-257-5362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateVT

VIII. Authorized Official

Name: MR. M. BRADFORD ELLIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 802-254-6041