# VERGENNES VILLAGE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Vergennes Residential Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306591482
- **Authorized official:** REBECCA HASSAN (OWNER)
- **Authorized official phone:** (802) 578-2238

## Contact information

- **Practice address:** 34 NORTH ST, VERGENNES, VT 05491-1108
- **Practice address phone:** (802) 578-2238
- **Mailing address:** 111 CHESAPEAKE DR, SHELBURNE, VT 05482-6537
- **Mailing address phone:** (802) 578-2238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2022
- **Last updated:** 02/16/2022