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LAKEWOOD ADULT FAMILY HOME INC
NPI 1194920488
Custodial Care Facility - Adult Care Home in Bomoseen, VT

Active since June 18, 2007
69 RAINBOWS END, BOMOSEEN, VT 05732(802) 468-3010(802) 468-5374 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakewood Adult Family Home Inc NPPES

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

LAKEWOOD ADULT FAMILY HOME INC (NPI 1194920488) is a healthcare organization registered as an adult care home in Bomoseen, Vermont and active in the NPI registry since June 2007. The organization lists Richard James Church, Administrator, as its authorized official.

NPPES Registry Identity

NPI1194920488
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLAKEWOOD ADULT FAMILY HOME INC
Location Address69 RAINBOWS ENDBomoseen, VT 05732-4417
Mailing AddressPob 1543Castleton, VT 05735-1543 · (802) 468-3010 · Fax (802) 468-5374
Phone(802) 468-3010
Fax(802) 468-5374
Organization SubpartNo
Authorized OfficialRichard James ChurchAdministrator · (802) 468-3010
Enumeration DateJune 18, 2007
Last NPPES UpdateJune 24, 2008
✔ NPI 1194920488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in VT · 544
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
69 RAINBOWS END, Bomoseen, VT 05732
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Other Identifiers 1

Medicaid047W278VT

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 Lakewood Adult Family Home Inc's NPI number?

The NPI number for Lakewood Adult Family Home Inc is 1194920488. It was assigned to this organization in the NPPES registry on June 18, 2007.

Where is Lakewood Adult Family Home Inc located?

Lakewood Adult Family Home Inc is located at 69 Rainbows End, Bomoseen, VT 05732. The listed phone number is (802) 468-3010.

What is Lakewood Adult Family Home Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Lakewood Adult Family Home Inc was last updated on June 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.