MEDICARE: THE HOMESTEAD, 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	311Z00000X	Custodial Care Facility	0135	VT

General Provider Information

NPI Number	:	1720114168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HOMESTEAD, INC.

Provider Business Mailing Address
First Line	:	73 RIVER ST
Second Line	:
City	:	WOODSTOCK
State	:	VT
Zip	:	05091-1226
Country	:	US
Telephone Number	:	802-457-1310
Fax Number	:	802-457-4267

Provider Business Practice Location Address
First Line	:	73 RIVER ST
Second Line	:
City	:	WOODSTOCK
State	:	VT
Zip	:	05091-1226
Country	:	US
Telephone Number	:	802-457-1310
Fax Number	:	802-457-4267

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. FRANCES M. VAN DA GRIFF
Credential	:
Telephone Number	:	802-457-1310

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

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Directions to “THE HOMESTEAD, INC. ” Practice Location

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