| Granite Vna, Inc. | |
|
30 Pillsbury St Concord NH 03301-3502 | |
| (603) 224-4093 | |
| (603) 227-7522 |
| Full Name | Granite Vna, Inc. |
|---|---|
| Speciality | Home Health |
| Location | 30 Pillsbury St, Concord, New Hampshire |
| Authorized Official Name and Position | Lori Nash (DIRECTOR OF COMPLIANCE) |
| Authorized Official Contact | 6032244093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite Vna, Inc. 30 Pillsbury St Concord NH 03301-3502 Ph: (603) 224-4093 | Granite Vna, Inc. 30 Pillsbury St Concord NH 03301-3502 Ph: (603) 224-4093 |
| NPI Number | 1164425583 |
|---|---|
| Provider Enumeration Date | 05/31/2005 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 3779672621 |
|---|---|
| Medicare Enrollment ID | O20071130000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164425583 | NPI | - | NPPES |
| 80307000 | Medicaid | NH | |
| 3076425 | Medicaid | NH | |
| 99591029 | Medicaid | NH | |
| 3850602 | Medicaid | NH | |
| 3073973 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 03500 (New Hampshire) | Secondary |
| 251E00000X | Home Health | 03500 (New Hampshire) | Primary |
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