NPIMap

Organization Active NPI

Granite Vna, Inc.

  • Community Based Hospice Care Agency
  • Concord, NH
National Provider Identifier
1124069315
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
03501 Issued in NH
Legal business name
GRANITE VNA, INC.
Practice address
30 Pillsbury St
Concord, NH 03301-3502
Phone
(603) 224-4093
Fax
(603) 227-7522
NPI assigned
Jun 9, 2006
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Mrs. Lori Nash, MSM
Title
Director of Compliance
Phone
(603) 224-4093

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 01713 NH
Community Based Hospice Care Agency 251G00000X 03501 NH Primary

Addresses

Primary practice location

30 Pillsbury St
Concord, NH 03301-3502

Mailing address

30 Pillsbury St
Concord, NH 03301-3502
Phone (603) 224-4093

Other identifiers 1

IdentifierTypeStateIssuer
30068343MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090506000305 NH Part A Provider - Hospice 3779672621 Practice locations: Concord, NH; Wolfeboro, NH; Laconia, NH
O20120619000420 NH Part B Supplier - Clinic/Group Practice 3779672621 Receives reassigned benefits from 6 practitioners
Practice locations: Concord, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124069315. Details of each certification follow.

Hospice certification: CCN 301500

Legal name
GRANITE VNA, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 24, 1989
Last certification
Feb 5, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 18, 1899 in NH
Enrollment address
30 Pillsbury St
Concord, NH 03301-3502

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Granite Vna, Inc.CCN 301500 · All quality measures
Ownership
Non-Profit
Certified
Jan 24, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Granite Vna Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christopher Edward Allen Individual Contracted Managing Employee Mar 12, 2024
Deborah Mullen Individual W-2 Managing EmployeeChief It Officer Jan 1, 2010
Operational/Managerial ControlChief It Officer Jan 1, 1998
Robin Michaud Individual Corporate Director Apr 1, 2021
Mary Collins Individual Corporate Director Apr 14, 2026
Neiko Lavery Individual Corporate Director Apr 15, 2025
David F Green Individual Corporate Director Jan 14, 2020
Stephen Sacco Individual Corporate Director Apr 14, 2026
Beth Slepian Individual Corporate OfficerPresident and Ceo Dec 20, 2015
W-2 Managing EmployeePresident & Ceo Dec 20, 2015
Operational/Managerial ControlPresident & Ceo Dec 20, 2015
Oreste J Mosca Individual Corporate Director Apr 15, 2025
Daniel L Andrus Individual Corporate Director Jan 17, 2017
Tonya Rochette Individual Corporate Director Apr 15, 2025
Dan Kaplan Individual Corporate Director Apr 11, 2024
Cynthia Bergeron Individual W-2 Managing EmployeeAd; Mar 31, 2025
Michael T Griffin Individual Corporate OfficerSecretary Jan 8, 2019
Corporate Director Jan 17, 2017
Christopher Parkinson Individual Corporate Director Apr 11, 2023
Daniel E Ray Individual W-2 Managing EmployeeMD; Jun 3, 2024
Operational/Managerial ControlMedical Doctor Apr 8, 2024
Corrine Smith Individual Corporate Director Apr 1, 2021
Maura Weston Individual Corporate Director Apr 9, 2024
Lyn S Lindpaintner Individual Corporate Director Jan 8, 2019
Andrea M Stevenson Individual Corporate Director Jun 14, 2016

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 47

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1124069315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PILLSBURY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013502",
            "telephone_number": "603-224-4093",
            "fax_number": "603-230-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PILLSBURY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013502",
            "telephone_number": "603-224-4093",
            "fax_number": "603-227-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE VNA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "603-224-4093",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NH",
            "license": "01713",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NH",
            "license": "03501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30068343",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.