Granite Vna, Inc.
Organization Active NPI Home Health Agency · Concord, NH
NPI 1164425583 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1164425583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 03500 (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
- May 31, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lori Nash, MDM
- Title
- Director of Compliance
- Phone
- (603) 224-4093
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Affiliated clinicians 221
-
Christopher Edward Allen, M.D.
-
David Anibal, APRN
-
Masooma Athar, MD
-
Jonathan L Attias, APRN
-
Ioan Cristian Badau, M.D.
-
Lisa B Baker, PA-C
-
Kyle T Baron, MD
-
Alec J Bernard, DO
-
Craig Betchart, M.D.
-
Emily Blanchette, APRN
-
Karen J Boselli, MD
-
Hannah E Boutselis, APRN
-
Denise A Brady, APRN
-
Teri L Brehio, M.D.
-
Carolyn Brown, FNP-C ARNP
-
Michael S Buff, MD
-
Shauna Marie Bumford, APRN
Medicare Care Compare: Home health agency
- Listed as
- Granite Vna, Inc
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Non-Profit
- Certified
- Jul 1, 1966
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Home health agency certification: CCN 307000
- Legal name
- GRANITE VNA, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 1, 1966
- Last certification
- Jun 13, 2019
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 18, 1899 in NH
- Enrollment address
- 30 Pillsbury St
Concord, NH 03301-3502
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Deborah Mullen |
W-2 Managing Employee |
Jan 1, 2010 | |
| Operational/Managerial Control | Jan 1, 1998 | ||
| Robin Michaud |
Corporate Director | Apr 1, 2021 | |
| Mary Collins |
Corporate Director | Apr 14, 2026 | |
| Neiko Lavery |
Corporate Director | Apr 15, 2025 | |
| David F Green |
Corporate Director |
Jan 14, 2020 | |
| Stephen Sacco |
Corporate Director | Apr 14, 2026 | |
| Beth Slepian |
Corporate Officer |
Dec 20, 2015 | |
| W-2 Managing Employee |
Dec 20, 2015 | ||
| Operational/Managerial Control |
Dec 20, 2015 | ||
| Other | Dec 20, 2015 | ||
| Oreste J Mosca |
Corporate Director | Apr 15, 2025 | |
| Daniel L Andrus |
Corporate Director | Jan 17, 2017 | |
| Tonya Rochette |
Corporate Director | Apr 15, 2025 | |
| Cynthia Bergeron |
W-2 Managing Employee |
Mar 31, 2025 | |
| Michael T Griffin |
Corporate Director | Jan 1, 2017 | |
| Christopher Parkinson |
Corporate Director | Apr 11, 2023 | |
| Corrine Smith |
Corporate Director | Apr 1, 2021 | |
| Maura Weston |
Corporate Director | Apr 9, 2024 | |
| Lyn S Lindpaintner |
Corporate Director | Jan 8, 2019 | |
| Andrea M Stevenson |
Corporate Director | Jun 14, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071130000223 | NH | Part a Provider - Home Health Agency | 3779672621 | Practice locations: Laconia, NH; Concord, NH; Wolfeboro, NH |
National Provider Directory
- Tax ID family
- Granite Vna Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 03500 | NH | Yes |
| Community/Behavioral Health Agency | 251S00000X | 03500 | NH |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80307000 | Medicaid | NH | |
| 3076425 | Medicaid | NH | |
| 99591029 | Medicaid | NH | |
| 3850602 | Medicaid | NH | |
| 3073973 | Medicaid | NH |
Other providers in Concord, NH
- Granite State Orthotics and Prosthetics, LLC
- Granite State Pharmacy LLC
- Granite State Physical Therapy Concord PLLC
- Granite State UC LLC
- Granite Vna, Inc.
- Granite Vna, Inc.
- Amy B Grant
- Kaitlyn Grant
- Lionel Grassi
- Jordan H Graustark
All providers in Concord, NH · Home Health Agency in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.