IDA'S HOUSE OF VERMONT PROFESSIONAL LIMITED LIABILITY COMPANY – NPI #1386581775
Custodial Care Facility

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Health Care Provider Taxonomy Code for Custodial Care Facility

IDA'S HOUSE OF VERMONT PROFESSIONAL LIMITED LIABILITY COMPANY is a custodial care facility located in BRANDON, VT. NPPES recently assigned the NPI number 1386581775 to IDA'S HOUSE OF VERMONT PROFESSIONAL LIMITED LIABILITY COMPANY on May 02, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 311ZA0620X from the Health Care Provider Taxonomy code set, which is classified as Custodial Care Facility, specializing in Adult Care Home

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IDA'S HOUSE OF VERMONT PROFESSIONAL LIMITED LIABILITY COMPANY below.

NPI Profile for
IDA'S HOUSE OF VERMONT PROFESSIONAL LIMITED LIABILITY COMPANY

NPI Number
1386581775
Enumeration Date

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IDA'S HOUSE OF VERMONT PROFESSIONAL LIMITED LIABILITY COMPANY
Primary location
360 NEW RD
BRANDON, VT 05733-8396
Phone: (802) 247-0381 Fax: (888) 502-6598
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TINEY RAY
OWNER
Phone: (678) 701-4679
Updated
Certification Date
May 02, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
311ZA0620X
- Custodial Care Facility / Adult Care Home (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.