1639267404 NPI number — HOWARDCENTER, INC.

Table of content: (NPI 1639267404)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639267404 NPI number — HOWARDCENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOWARDCENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HOWARDCENTER FOR HUMAN SERVICES
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639267404
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
208 FLYNN AVE
Provider Second Line Business Mailing Address:
SUITE 3J
Provider Business Mailing Address City Name:
BURLINGTON
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05401-5429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-488-6900
Provider Business Mailing Address Fax Number:
802-488-6919

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 FLYNN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05401-5301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-488-6103
Provider Business Practice Location Address Fax Number:
802-488-6919
Provider Enumeration Date:
10/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCGUIRE
Authorized Official First Name:
SANDY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF FINANCE& ADMINISTRATION
Authorized Official Telephone Number:
802-488-6900

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251S00000X , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QD1600X , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0855X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0405X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 310400000X , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 322D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1001098 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6060009 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007275 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00006190 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 047W159 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1006429 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".




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