- Practice location
- 360 New RD, Brandon, VT 05733-8396
- Phone
- 802-247-0381
- Fax
- 888-502-6598
- Last updated
- May 2, 2026
Ida'S House Of Vermont Professional Limited Liability Company is a healthcare organization based in Brandon, VT. Ida'S House Of Vermont Professional Limited Liability Company practices in Brandon, VT. The NPI Number for Ida'S House Of Vermont Professional Limited Liability Company is 1386581775. The current practice location address for Ida'S House Of Vermont Professional Limited Liability Company is 360 New RD, Brandon, VT 05733-8396 and can be reached out via phone at 802-247-0381 and via fax at 888-502-6598.
Provider Profile Details
- NPI Number
- 1386581775
- Provider Name
- Ida'S House Of Vermont Professional Limited Liability Company
- Provider Entity Type
- Organization
- Address
- 360 New RD, Brandon, VT 05733-8396
- Phone Number
- 802-247-0381
- Fax Number
- 888-502-6598
- Primary Taxonomy
- Custodial Care Facility, Adult Care Home · 311ZA0620X
- Organization Subpart
- No
- Authorized Official
- Dr. Tiney Ray, PHD, DNP, FNP, PMHNP · Owner · 678-701-4679
- Provider Enumeration Date
- May 2, 2026
- Last Update Date
- May 2, 2026
- Certification Date
- May 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 New RD
Brandon, VT 05733-8396 - City
- Brandon
- State
- Vermont
- Zip
- 05733-8396
- Phone Number
- 802-247-0381
- Fax Number
- 888-502-6598
Provider Business Mailing Address Details
- Address
- 360 New RD
Brandon, VT 05733-8396 - City
- Brandon
- State
- VT
- Zip
- 05733-8396
- Phone Number
- 802-247-0381
- Fax Number
- 888-502-6598
License Information
- Taxonomy
- Custodial Care Facility, Adult Care Home · 311ZA0620X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ida'S House Of Vermont Professional Limited Liability Company?
The NPI number of Ida'S House Of Vermont Professional Limited Liability Company is 1386581775. It was assigned on May 2, 2026 and is currently active in the NPPES registry.
What is the specialty of Ida'S House Of Vermont Professional Limited Liability Company?
Ida'S House Of Vermont Professional Limited Liability Company is registered under the primary taxonomy Custodial Care Facility, Adult Care Home (code 311ZA0620X).
Where does Ida'S House Of Vermont Professional Limited Liability Company practice?
The practice location is 360 New RD, Brandon, VT 05733-8396. The office can be reached at 802-247-0381 (phone) or 888-502-6598 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386581775 directly on the NPPES registry website.