Organization Active NPI

Nurses PRN Inc

Doing business as Silver Touch Home Health Care

  • Home Health Agency
  • Merrimack, NH
National Provider Identifier
1194728741
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
02856 Issued in NH
Legal business name
NURSES PRN INC
Doing business as
Silver Touch Home Health Care
Practice address
22 Greeley St Ste 5
Merrimack, NH 03054-4434
Phone
(603) 424-9479
Fax
(603) 424-4199
NPI assigned
May 27, 2005
Last updated
Feb 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Ms. Diana L Dedousis, RN ,BSN
Title
Administrator
Phone
(603) 424-9479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 02856 NH Primary

Addresses

Primary practice location

22 Greeley St Ste 5
Merrimack, NH 03054-4434

Mailing address

PO Box 122
Merrimack, NH 03054-0122
Phone (603) 424-9479

Other identifiers 2

IdentifierTypeStateIssuer
30006534MedicaidNH
80307070MedicaidNH

Other names 1

  • Silver Touch Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030804000017 NH Part A Provider - Home Health Agency 7517878226 Practice locations: Nashua, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194728741. Details of each certification follow.

Home health agency certification: CCN 307070

Legal name
NURSES PRN INC
Doing business as
SILVER TOUCH HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 8, 1994
Last certification
Feb 14, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 3, 1986 in NH
Enrollment address
451 Amherst St
Ste 104
Nashua, NH 03063-1200
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Silver Touch Home Health CareCCN 307070 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Feb 8, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0916792Nurses PRN Inc451 Amherst St, Ste 104, Nashua, NH 03063Certificate of waiverJun 30, 2028

National Provider Directory

National Provider Directory

Locations

22 Greeley St
Ste 1A
Merrimack, NH 03054

22 Greeley St
Ste 5
Merrimack, NH 03054
Phone (603) 315-1601

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Hulaymatu Kamara Individual 5% Or Greater Direct Ownership InterestCo-Owner/Administrator Feb 28, 2020 50%
Corporate Officer Feb 28, 2020
Corporate Director Feb 28, 2020
Albert T Senesie Individual 5% Or Greater Direct Ownership InterestOwner Feb 21, 2020 50%
Gracie Anderson Individual Corporate Director Feb 22, 2020
Dawn Mrotek Individual W-2 Managing EmployeeQi Manager Jul 19, 1999
Mohamed Jenkins Bawoh Individual Corporate Director Feb 22, 2020

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1194728741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030540122",
            "telephone_number": "603-424-9479",
            "fax_number": "603-424-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 GREELEY ST STE 5",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544434",
            "telephone_number": "603-424-9479",
            "fax_number": "603-424-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSES PRN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "DEDOUSIS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-424-9479",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN ,BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NH",
            "license": "02856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30006534",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80307070",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Touch Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silver Touch Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrimack, NH

Sources for this page

Verify at the official NPI Registry.