Organization Active NPI

Gogo Senior Care LLC

  • Gerontology Clinical Nurse Specialist
  • Nashua, NH
National Provider Identifier
1083473888
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
Legal business name
GOGO SENIOR CARE LLC
Practice address
56 Marie Ave
Nashua, NH 03063-3557
Phone
(603) 930-0137
Fax
(603) 718-8347
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Prisca Langa Ouellette, APRNNPI 1598217564
Title
Owner
Phone
(603) 930-0137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SG0600X Primary

Addresses

Primary practice location

56 Marie Ave
Nashua, NH 03063-3557

Mailing address

56 Marie Ave
Nashua, NH 03063-3557
Phone (603) 930-0137

Other practice location 1

11 North St
Stoneham, MA 02180-1040
Phone (507) 316-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240729004140 NH Part B Supplier - Clinic/Group Practice 6103363999 Receives reassigned benefits from 1 practitioner
Practice locations: Nashua, NH
O20240814001200 MA Part B Supplier - Clinic/Group Practice 6103363999 Receives reassigned benefits from 1 practitioner
Practice locations: Stoneham, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1083473888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MARIE AVE",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633557",
            "telephone_number": "603-930-0137",
            "fax_number": "603-718-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MARIE AVE",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633557",
            "telephone_number": "603-930-0137",
            "fax_number": "603-718-8347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 North St",
            "address_purpose": "LOCATION",
            "city": "Stoneham",
            "state": "MA",
            "postal_code": "021801040",
            "country_code": "US",
            "telephone_number": "507-316-0660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOGO SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "PRISCA",
        "authorized_official_middle_name": "LANGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-930-0137",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.