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DAVIS HOME
NPI 1922130236
Assisted Living Facility in Windsor, VT

Active since March 12, 2007
45 STATE ST, WINDSOR, VT 05089(802) 674-5300(802) 674-5388 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Davis Home NPPES

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

DAVIS HOME (NPI 1922130236) is a healthcare organization registered as an assisted living facility in Windsor, Vermont and active in the NPI registry since March 2007. The organization lists Carrie J Patch, Manager, as its authorized official.

NPPES Registry Identity

NPI1922130236
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSTATE STREET ENTERPRISE, LLC
Location Address45 STATE STWindsor, VT 05089-1213
Mailing Address45 State StWindsor, VT 05089-1213 · (802) 674-5300 · Fax (802) 674-5388
Phone(802) 674-5300
Fax(802) 674-5388
Organization SubpartNo
Authorized OfficialCarrie J PatchManager · (802) 674-5300
Enumeration DateMarch 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922130236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in VT · 0021
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
45 STATE ST, Windsor, VT 05089
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Other Names 1

Doing Business AsDavis Home

Other Identifiers 2

Medicaid047W175VT
Medicaid047W179VT

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 State Street Enterprise, LLC's NPI number?

The NPI number for State Street Enterprise, LLC is 1922130236. It was assigned to this organization in the NPPES registry on March 12, 2007. The provider is doing business as Davis Home.

Where is State Street Enterprise, LLC located?

State Street Enterprise, LLC is located at 45 State St, Windsor, VT 05089. The listed phone number is (802) 674-5300.

What is State Street Enterprise, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for State Street Enterprise, LLC 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.