Penacook Assisted Living Facility, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PENACOOK ASSISTED LIVING FACILITY, INC

Doing business as

John H Whitaker Place

Practice address

30 Borough Rd
Penacook, NH 03303-1918

Phone

(603) 753-9100

Fax

(603) 753-8459

NPI assigned

May 17, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amy Hein

Title

Executive Director

Phone

(603) 753-9100

Specialties & licenses 1

Addresses

Other names 1

• John H Whitaker Place Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adrian Laliberte

  • Gerontology Occupational Therapist
  • Concord, NH
  • NPI 1982573697
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1053002352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BOROUGH RD",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033031918",
            "telephone_number": "603-753-9100",
            "fax_number": "603-753-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BOROUGH RD",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033031918",
            "telephone_number": "603-753-9100",
            "fax_number": "603-753-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENACOOK ASSISTED LIVING FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "HEIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-753-9100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John H Whitaker Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MLJC Inc
• Jaime Murphy, RDH
• James Nicholls, PHD
• Optivan of Newhampshire Inc
• Galina Pavlencheva, DO
• Penacook Pharmacy LLC
• Stephanie Pierce, APRN
• Heather Lee Pothier
• Semon Farida Basar Randall
• Samuel T Roedell, BA

• Assisted Living Facility in Penacook, NH
• Providers in Penacook, NH by specialty
• Assisted Living Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.