MAYO MANOR
NPI 1508997487
Custodial Care Facility - Adult Care Home in Northfield, VT

Active since March 09, 2007CLIA 47D0992400 · Waiver
610 WATER ST, NORTHFIELD, VT 05663(802) 485-3161 Get Directions Write a Review

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

About Mayo Manor NPPES

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

MAYO MANOR (NPI 1508997487) is a healthcare organization registered as an adult care home in Northfield, Vermont and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Lois A Lusignan, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1508997487
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameMAYO HEALTHCARE INC
Location Address610 WATER STNorthfield, VT 05663-5640
Mailing Address71 Richardson StNorthfield, VT 05663-5644 · (802) 485-3161
Organization SubpartNo
Authorized OfficialLois A LusignanBusiness Manager · (802) 485-3161
Enumeration DateMarch 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1508997487 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 VI · 0199
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.
610 WATER ST, Northfield, VT 05663

Other Names 1

Other NameMayo Manor

Other Identifiers 1

Medicaid047W056VT

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 47D0992400

Mayo Healthcare, Inc · Northfield, VT
Active · expires Oct 15, 2027
CLIA Number47D0992400
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorShellie Stevens
Laboratory Phone(802) 485-3161
Laboratory LocationMayo Healthcare, Inc71 Richardson St, Northfield, VT 05663
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

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

Custodial Care Facility (Adult Care Home)
610 WATER ST
NORTHFIELD, VT 05663

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 Mayo Healthcare Inc's NPI number?

The NPI number for Mayo Healthcare Inc is 1508997487. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is also known as Mayo Manor.

Where is Mayo Healthcare Inc located?

Mayo Healthcare Inc is located at 610 Water St, Northfield, VT 05663. The listed phone number is (802) 485-3161.

What is Mayo Healthcare Inc's specialty?

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

Does Mayo Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D0992400) is associated with this NPI, valid through October 15, 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 Mayo Healthcare 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.