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GREEN MOUNTAIN NURSING HOME
NPI 1063406593
Skilled Nursing Facility in Colchester, VT

Active since September 12, 2005CLIA 47D0091310 · Waiver
475 ETHAN ALLEN AVE, COLCHESTER, VT 05446(802) 655-1025(802) 655-1962 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Green Mountain Nursing Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN MOUNTAIN NURSING HOME (NPI 1063406593) is a healthcare organization registered as a skilled nursing facility in Colchester, Vermont and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Thomas E Rice, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1063406593
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTSS LLC
Location Address475 ETHAN ALLEN AVEColchester, VT 05446-3312
Mailing Address475 Ethan Allen AveColchester, VT 05446-3312 · (802) 655-1025 · Fax (802) 655-1962
Phone(802) 655-1025
Fax(802) 655-1962
Organization SubpartNo
Authorized OfficialThomas E RiceManaging Partner · (802) 295-7511
Enumeration DateSeptember 12, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063406593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in VT · 0270000353
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
475 ETHAN ALLEN AVE, Colchester, VT 05446
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Other Names 1

Doing Business AsGreen Mountain Nursing Home

Other Identifiers 1

Medicaid0475040VT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 47D0091310

Green Mountain Nursing Home · Colchester, VT
Active · expires Aug 31, 2026
CLIA Number47D0091310
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJennifer Combs-Wilber
Laboratory Phone(802) 655-1025
Laboratory LocationGreen Mountain Nursing Home475 Ethan Allen Ave, Colchester, VT 05446
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREDA SCARPA
Physical Therapist
475 ETHAN ALLEN AVE
COLCHESTER, VT 05446
Chittenden County (802) 338-9021
GM OPERATIONS LLC
Skilled Nursing Facility
475 ETHAN ALLEN AVE
COLCHESTER, VT 05446
Chittenden County (802) 655-1025
MS. MARGARET HAYES MOT
Occupational Therapist
475 ETHAN ALLEN AVE
COLCHESTER, VT 05446
Chittenden County (802) 655-1025
MS. JESSICA JEAN BOLDUC OT
Occupational Therapist
475 ETHAN ALLEN AVE
COLCHESTER, VT 05446
Chittenden County (802) 338-9021
MRS. JAIME GODDETTE PT
Physical Therapist
475 ETHAN ALLEN AVE
COLCHESTER, VT 05446
Chittenden County (802) 338-9021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tss LLC's NPI number?

The NPI number for Tss LLC is 1063406593. It was assigned to this organization in the NPPES registry on September 12, 2005. The provider is doing business as Green Mountain Nursing Home.

Where is Tss LLC located?

Tss LLC is located at 475 Ethan Allen Ave, Colchester, VT 05446. The listed phone number is (802) 655-1025.

What is Tss LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Tss LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D0091310) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tss LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.