FORTYSEVEN MAIN STREET, INC
NPI 1134465784
Community Based Residential Treatment Facility, Mental Illness in Castleton, VT

Active since December 28, 2012
706 MAIN STREET, CASTLETON, VT 05735(800) 287-5325(802) 468-5152 Get Directions Write a Review

NPPES record last updated: December 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fortyseven Main Street, Inc NPPES

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

FORTYSEVEN MAIN STREET, INC (NPI 1134465784) is a healthcare organization registered as a community based residential treatment facility, mental illness in Castleton, Vermont and active in the NPI registry since December 2012. The organization lists Willem Leenman, Director, as its authorized official.

NPPES Registry Identity

NPI1134465784
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business Name47 MAIN STREET CORPORATION
Location Address706 MAIN STREETCastleton, VT 05735-0038
Mailing AddressPo Box 38, 706 Main StreetCastleton, VT 05735-0038 · (800) 287-5325 · Fax (802) 468-5152
Fax(802) 468-5152
Organization SubpartNo
Authorized OfficialWillem LeenmanDirector · (802) 468-5325
Enumeration DateDecember 28, 2012
NPI 1134465784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
706 MAIN STREET, Castleton, VT 05735

Other Names 1

Doing Business AsFortyseven Main Street, Inc

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 47 Main Street Corporation's NPI number?

The NPI number for 47 Main Street Corporation is 1134465784. It was assigned to this organization in the NPPES registry on December 28, 2012. The provider is doing business as Fortyseven Main Street, Inc.

Where is 47 Main Street Corporation located?

47 Main Street Corporation is located at 706 Main Street, Castleton, VT 05735. The listed phone number is (800) 287-5325.

What is 47 Main Street Corporation's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for 47 Main Street Corporation was last updated on December 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.