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KINGDOM REHAB CENTER, LLC
NPI 1568434629
Skilled Nursing Facility in Barton, VT

Active since February 03, 2006CLIA 47D0682238 · Waiver
2/5
Overall Rating
60 MAPLE LN, BARTON, VT 05822(802) 754-8575(802) 754-2113 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kingdom Rehab Center, Llc NPPES

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

KINGDOM REHAB CENTER, LLC (NPI 1568434629), doing business as Maple Lane Nursing Home, is a healthcare organization registered as a skilled nursing facility in Barton, Vermont and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Travis Bergeron, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1568434629
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKINGDOM REHAB CENTER, LLC
Location Address60 MAPLE LNBarton, VT 05822-9494
Mailing Address60 Maple LnBarton, VT 05822-9494 · (802) 754-8575 · Fax (802) 754-2113
Phone(802) 754-8575
Fax(802) 754-2113
Organization SubpartNo
Authorized OfficialTravis BergeronDirector Of Operations · (802) 754-8575
Enumeration DateFebruary 3, 2006
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1568434629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
60 MAPLE LN, Barton, VT 05822
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Other Names 1

Doing Business AsMaple Lane Nursing Home

Other Identifiers 1

Medicaid0475042VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kingdom Rehab Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kingdom Rehab Center, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Janet Patterson, N.P.
Nurse Practitioner
NPI 1992755219
1248 HOSPITAL DR
St Johnsbury, VT 05819
(802) 748-8757
✔ PECOS✔ Accepts Medicare25 mi
Kathleen Guilmain, APRN GNP-BC
Nurse Practitioner
NPI 1093000648
299 COUNTRY LAND DR
North Haverhill, NH 03774
(603) 747-4161
✔ PECOS✔ Accepts Medicare52 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 47D0682238

Kingdom Rehab Center D/B/A Maple Lane Nursing Home · Barton, VT
Active · expires Aug 31, 2028
CLIA Number47D0682238
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorBeth Riendeau
Laboratory Phone(802) 754-8575
Laboratory LocationKingdom Rehab Center D/B/A Maple Lane Nursing Home60 Maple Lane, Barton, VT 05822
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Maple Lane Nursing Home (CMS certification number 475042), from CMS Care Compare.

Maple Lane Nursing Home

Nursing home · Barton, VT
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number475042
Certified Beds71 beds65 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 1993
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
50.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.95 · LPN 1.19 · RN 0.41
4.55 hrs per resident per day
Weekend Nurse Staffing
3.41 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
73.3%
Registered Nurse Turnover
33.3%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
2
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Kingdom Rehab Center, LLC's NPI number?

The NPI number for Kingdom Rehab Center, LLC is 1568434629. It was assigned to this organization in the NPPES registry on February 3, 2006. The provider is doing business as Maple Lane Nursing Home.

Where is Kingdom Rehab Center, LLC located?

Kingdom Rehab Center, LLC is located at 60 Maple Ln, Barton, VT 05822. The listed phone number is (802) 754-8575.

What is Kingdom Rehab Center, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Kingdom Rehab Center, LLC enrolled in Medicare?

Yes. Kingdom Rehab Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kingdom Rehab Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Kingdom Rehab Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kingdom Rehab Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D0682238) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Kingdom Rehab Center, LLC a Medicare-certified nursing home?

Yes. Maple Lane Nursing Home is a Medicare-certified nursing home with 71 certified beds.

What quality rating does Kingdom Rehab Center, LLC have?

CMS rates Maple Lane Nursing Home 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Kingdom Rehab Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Kingdom Rehab Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kingdom Rehab Center, LLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.