NPIMap

Organization Active NPI

Granite Vna, Inc.

  • Home Health Agency
  • Concord, NH
National Provider Identifier
1164425583
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
03500 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
May 31, 2005
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, MDM
Title
Director of Compliance
Phone
(603) 224-4093

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 03500 NH Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071130000223 NH Part A Provider - Home Health Agency 3779672621 Practice locations: Laconia, NH; Concord, NH; Wolfeboro, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164425583. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Oct 18, 1899 in NH
Enrollment address
30 Pillsbury St
Concord, NH 03301-3502
HHA Branch

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: Home health agency

Medicare Care Compare
Listed as
Granite Vna, IncCCN 307000 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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 17

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

NameRoleSinceShare
Deborah Mullen Individual W-2 Managing EmployeeChief It Office Jan 1, 2010
Operational/Managerial Control 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 DirectorTrustee 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
Other 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
Cynthia Bergeron Individual W-2 Managing EmployeeAd; Mar 31, 2025
Michael T Griffin Individual Corporate Director Jan 1, 2017
Christopher Parkinson Individual Corporate Director Apr 11, 2023
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

Practitioners & affiliated clinicians

Affiliated clinicians 221

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

View all 221

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1164425583",
    "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": "2005-05-31",
        "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": "MDM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NH",
            "license": "03500",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NH",
            "license": "03500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.