NPI 1386581775

Ida's House of Vermont Professional Limited Liability Company

Organisation Adult Care Home Facility Brandon, VT

Practice location

Address: 360 New Rd, Brandon, VT 05733-8396
Phone: (802) 247-0381
Fax: (888) 502-6598

Authorised official

Name: Tiney Ray
Title: Owner
Phone: (678) 701-4679

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Vermont →

Registry record

NPI: 1386581775
Entity type: Organization
NPI issued: 2 May 2026
Record last updated: 2 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.