Wentworth Home for the Aged

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

01532 Issued in NH

Legal business name

WENTWORTH HOME FOR THE AGED

Doing business as

Wentworth Home

Practice address

795 Central Avenue
Dover, NH 03820

Phone

(603) 742-7402

Fax

(603) 749-1013

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Andy Galt

Title

President

Phone

(603) 742-2053

Specialties & licenses 1

Addresses

Other names 1

• WENTWORTH HOME 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

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174745624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 CENTRAL AVENUE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-742-7402",
            "fax_number": "603-749-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 CENTRAL AVENUE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-742-7402",
            "fax_number": "603-749-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTWORTH HOME FOR THE AGED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALT",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-742-2053",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "01532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WENTWORTH HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wentworth Douglass Hospital
• Wentworth Douglass Hospital
• Wentworth Douglass Physician Corporation
• Wentworth Douglass Physician Corporation
• Wentworth Douglass Physician Corporation (The Doorway at WD)
• Wentworth-Douglass Community Dental Center
• Wentworth-Douglass Hospital
• Wentworth-Douglass Hospital (Wentworth-Douglass Hospital Employee Pharmacy)
• Emily Grace Wentworth
• Ann West, RN, CDE

• Assisted Living Facility in Dover, NH
• Providers in Dover, 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 Aug 22, 2020; 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.