MERTEN'S HOUSE
NPI 1861488520
Nursing Facility/Intermediate Care Facility in Woodstock, VT

NPI Status: Active since September 27, 2005

Contact Information

73 RIVER ST
WOODSTOCK, VT
ZIP 05091
Phone: (802) 457-4411
Fax: (802) 457-5722

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  • Organization
  • Nursing Facility/Intermediate Care Facil...
  • CLIA Number: 47D0876078
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 01-03-2027

About MERTEN'S HOUSE

This page provides the complete NPI Profile along with additional information for Merten's House, a provider established in Woodstock, Vermont operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1861488520 assigned on September 2005. The practitioner's primary taxonomy code is 313M00000X with license number 47S002 (VT). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Carol Washburn (Adm.)

NPI
1861488520
Provider Name
MERTEN'S HOUSE
Entity Type
Organization
Location Address
73 RIVER ST WOODSTOCK, VT 05091
Location Phone
(802) 457-4411
Location Fax
(802) 457-5722
Mailing Address
73 RIVER ST WOODSTOCK, VT 05091
Mailing Phone
(802) 457-4411
Mailing Fax
(802) 457-5722
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
47S002
License State
VT
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CAROL WASHBURN

Authorized Official Title
ADM.
Authorized Official Phone
(802) 457-4411

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
47D0876078
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
January 04, 2025
Certificate Expiration Date
January 03, 2027
Laboratory Director
STEVEN B. SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Merten's House to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1861488520
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28121881654
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 8 + 8 + 1 + 6 + 5 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1861488520 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720114168THE HOMESTEAD, INC.
Organization
Custodial Care Facility73 RIVER ST
WOODSTOCK, VT 05091
(802) 457-1310

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861488520, enumerated in the NPI registry as an "organization" on September 27, 2005

The provider is located at 73 River St Woodstock, Vt 05091 and the phone number is (802) 457-4411

This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

The provider's CLIA number is 47D0876078 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 27, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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