OrganizationActive
300 Pearl Street Operations LLC
NPI 1942686738 · Skilled Nursing Facility · Burlington, VT
Provider details
- NPI number
- 1942686738
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Genesis Nj Holdings LLC
- Authorized official
- Michael Berg, Assistant Secretary
- License
- 000000 (VT)
Practice location
300 Pearl Street
Burlington, VT 05641
Phone: (802) 658-4200
Fax: (802) 658-4201
Mailing address
300 Pearl Street
Burlington, VT 05641
Registry dates
- Enumerated
- 2015-08-04
- Last updated
- 2023-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.