OUR LADY OF PROVIDENCE VT. INC.
NPI 1285769174
Assisted Living Facility in Winooski, VT
About Our Lady Of Providence Vt. Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OUR LADY OF PROVIDENCE VT. INC. (NPI 1285769174), doing business as Ourlady Of Providence, is a healthcare organization registered as an assisted living facility in Winooski, Vermont and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Carmen Proulx, Sister, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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 47D2057263
Our Lady Of Providence · Winooski, VTFrequently 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 Our Lady Of Providence Vt. Inc.'s NPI number?
The NPI number for Our Lady Of Providence Vt. Inc. is 1285769174. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider was formerly known as Ourlady Of Providence.
Where is Our Lady Of Providence Vt. Inc. located?
Our Lady Of Providence Vt. Inc. is located at 47 W Spring St, Winooski, VT 05404. The listed phone number is (802) 655-2395.
What is Our Lady Of Providence Vt. Inc.'s specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Our Lady Of Providence Vt. Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 47D2057263) is associated with this NPI, valid through April 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Our Lady Of Providence Vt. 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.
# Our Lady Of Providence Vt. Inc. · NPI 1285769174
Assisted Living Facility organization in Winooski, Vermont. Organization record, active in the CMS NPPES registry since February 22, 2007.
## Identity
- **NPI:** 1285769174 (Entity type: Organization)
- **Enumerated:** February 22, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Carmen Proulx, SISTER
## Practice location
- **Address:** 47 W SPRING ST, Winooski, VT 05404-1319
- **Phone:** (802) 655-2395
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 047W267 (VT); Medicaid 047W152 (VT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285769174) · Data from the CMS NPPES public registry.