# NORTHERN COUNTIES HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Caledonia Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518960137
- **Authorized official:** MR. KEVIN COONEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (802) 748-9405

## Contact information

- **Practice address:** 161 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
- **Practice address phone:** (802) 748-8116
- **Practice address fax:** (802) 748-4628
- **Mailing address:** 161 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
- **Mailing address phone:** (802) 748-8116
- **Mailing address fax:** (802) 748-4628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | VT | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | VT | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 04/12/2012