CALEDONIA HOME HEALTH CARE
NPI 1174656201
Home Health in St. Johnsbury, VT

Active since March 14, 2007CLIA 47D0689537 · Waiver
161 SHERMAN DRVIE, ST. JOHNSBURY, VT 05819(802) 748-8116(802) 748-4628 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caledonia Home Health Care NPPES

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

CALEDONIA HOME HEALTH CARE (NPI 1174656201) is a healthcare organization registered as a home health in St. Johnsbury, Vermont and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jack Donnelly, Interim Executive Director, as its authorized official.

NPPES Registry Identity

NPI1174656201
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameNORTHERN COUNTIES HEALTH CARE, INC.
Location Address161 SHERMAN DRVIESt. Johnsbury, VT 05819
Mailing Address161 Sherman DrvieSt. Johnsbury, VT 05819 · (802) 748-8116 · Fax (802) 748-4628
Fax(802) 748-4628
Organization SubpartNo
Authorized OfficialJack DonnellyInterim Executive Director · (802) 748-9405
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1174656201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
161 SHERMAN DRVIE, St. Johnsbury, VT 05819

Other Names 1

Doing Business AsCaledonia Home Health Care

Other Identifiers 6

Medicaid1005008VT
Medicaid47-W004VT
Medicaid1005248VT
Medicaid1004923VT
Medicaid1005275VT
OtherT001703VT · Champus-hospice

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 47D0689537

Caledonia Home Health Care · Saint Johnsbury, VT
Active · expires Aug 31, 2026
CLIA Number47D0689537
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTreny L. Burgess
Laboratory Phone(802) 748-8116
Laboratory LocationCaledonia Home Health Care161 Sherman Dr, Saint Johnsbury, VT 05819
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Northern Counties Health Care, Inc.'s NPI number?

The NPI number for Northern Counties Health Care, Inc. is 1174656201. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Caledonia Home Health Care.

Where is Northern Counties Health Care, Inc. located?

Northern Counties Health Care, Inc. is located at 161 Sherman Drvie, St. Johnsbury, VT 05819. The listed phone number is (802) 748-8116.

What is Northern Counties Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Northern Counties Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D0689537) 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 Northern Counties Health Care, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.