SPRING LAKE RANCH – NPI #1336348705
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

SPRING LAKE RANCH is a community based residential treatment facility located in CUTTINGSVILLE, VT. NPPES has assigned the NPI number 1336348705 to SPRING LAKE RANCH on July 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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 SPRING LAKE RANCH below.

NPI Profile for
SPRING LAKE RANCH

NPI Number
1336348705
Enumeration Date

(about 19 years 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
SPRING LAKE RANCH
Primary location
1169 SPRING LAKE RD
CUTTINGSVILLE, VT 05738-4418
Phone: (802) 492-3322 Fax: (802) 492-3331
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANDREW RICHARDS-PEELLE
BUSINESS MANAGER
Phone: (802) 492-3322
Updated
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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
VT 0526
324500000X
- Substance Abuse Rehabilitation Facility
VT 0526

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.